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Wyoming rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $630.96 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $478.63 / $741.31