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Wyoming rates for HCPCS L5639

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.13 / $897.13 / $1,571.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.19 / $1,752.19 / $1,752.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.19 / $1,752.19 / $1,752.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $1,480.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $635.47 / $870.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.77 / $671.35 / $1,034.53