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Wyoming rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.27 / $307.27 / $538.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.15 / $600.15 / $600.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.15 / $600.15 / $600.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $890.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $330.09 / $452.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.10 / $408.79 / $472.45