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Wyoming rates for HCPCS L5647

Addition To Lower Extremity Below Knee Suction Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.87 / $582.87 / $1,020.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.41 / $1,138.41 / $1,138.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.41 / $1,138.41 / $1,138.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $1,400.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $947.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.65 / $629.41 / $629.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.49 / $635.08 / $733.98