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Wyoming rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.60 / $238.60 / $417.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.01 / $466.01 / $466.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.01 / $466.01 / $466.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $407.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $297.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.38 / $178.55 / $275.14