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Wyoming rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.38 / $595.38 / $1,042.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.83 / $1,162.83 / $1,162.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.83 / $1,162.83 / $1,162.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $1,335.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $699.14 / $957.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.21 / $545.71 / $840.91