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Wyoming rates for HCPCS L5656

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.72 / $229.72 / $402.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.67 / $448.67 / $448.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.67 / $448.67 / $448.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $554.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $442.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.75 / $222.12 / $342.28