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Wyoming rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.72 / $190.72 / $333.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.49 / $372.49 / $372.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.49 / $372.49 / $372.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $419.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $181.08 / $248.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.99 / $190.30 / $293.23