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Wyoming rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.65 / $511.65 / $896.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.32 / $999.32 / $999.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.32 / $999.32 / $999.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $882.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $417.71 / $572.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.06 / $510.51 / $590.01