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Wyoming rates for HCPCS L5722

Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.77 / $602.77 / $1,055.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.28 / $1,177.28 / $1,177.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.28 / $1,177.28 / $1,177.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $1,424.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $638.96 / $875.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.63 / $720.84 / $833.09