go back

Wyoming rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.61 / $60.61 / $106.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.36 / $118.36 / $118.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.36 / $118.36 / $118.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $134.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $65.11 / $89.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.65 / $80.62 / $93.18