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Wyoming rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.90 / $425.90 / $745.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.83 / $831.83 / $831.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.83 / $831.83 / $831.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $723.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $410.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.52 / $328.08 / $505.56