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Wyoming rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $467.74 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $457.09 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $346.74 / $537.03