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Wyoming rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $36.65 / $64.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.59 / $71.59 / $71.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.59 / $71.59 / $71.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $93.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $33.44 / $45.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.06 / $48.77 / $56.36