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Wyoming rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.95 / $268.95 / $471.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.29 / $525.29 / $525.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.29 / $525.29 / $525.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $478.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $198.39 / $271.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.11 / $216.98 / $334.37