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Wyoming rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $389.05 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $389.05 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $288.40 / $446.68