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Wyoming rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.13 / $217.13 / $380.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.07 / $424.07 / $424.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.07 / $424.07 / $424.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $358.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $148.56 / $203.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.85 / $216.64 / $250.38