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Wyoming rates for HCPCS L5704

Custom shaped protective cover, below knee (BK)

Facilitymedian $479 · 10th–90th $398–$6920%20%10th90th$479Professionalmedian $562 · 10th–90th $316–$6920%20%10th90th$562$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $478.63 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $416.87 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $316.23 / $478.63