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Wyoming rates for HCPCS L5655

Addition To Lower Extremity Socket Insert Below Knee (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.18 / $159.18 / $278.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.89 / $310.89 / $310.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.89 / $310.89 / $310.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.07 / $221.07 / $350.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.38 / $161.38 / $221.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.55 / $211.77 / $244.74