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Wyoming rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.76 / $495.76 / $868.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.27 / $968.27 / $968.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.27 / $968.27 / $968.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $530.41 / $838.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $738.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.30 / $370.99 / $571.67