go back

Wyoming rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $36.22 / $63.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.73 / $70.73 / $70.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $70.73 / $70.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $72.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $44.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.65 / $40.78 / $47.14