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Wyoming rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $741.31 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $851.14