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Wyoming rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.52 / $82.52 / $144.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.16 / $161.16 / $161.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.16 / $161.16 / $161.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $210.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $72.75 / $99.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.92 / $106.09 / $122.61