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Wyoming rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.37 / $173.37 / $303.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.61 / $338.61 / $338.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.61 / $338.61 / $338.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $232.98 / $381.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $170.08 / $232.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $172.98 / $462.31