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Wyoming rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.02 / $398.02 / $697.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.37 / $777.37 / $777.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.37 / $777.37 / $777.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $875.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $277.86 / $380.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.20 / $297.85 / $458.97