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Wyoming rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.25 / $1,272.25 / $2,228.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,484.86 / $2,484.86 / $2,484.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,484.86 / $2,484.86 / $2,484.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $2,513.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,314.00 / $1,800.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.40 / $1,520.07 / $1,756.79