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Wyoming rates for HCPCS L5677

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.89 / $295.89 / $518.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.91 / $577.91 / $577.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.91 / $577.91 / $577.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $700.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $292.57 / $400.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.83 / $295.24 / $454.95