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Wyoming rates for HCPCS L5707

Custom shaped protective cover, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.43 / $821.43 / $1,438.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,604.35 / $1,604.35 / $1,604.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.35 / $1,604.35 / $1,604.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.20 / $1,232.20 / $1,898.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $899.51 / $1,232.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.48 / $861.08 / $1,141.43