go back

Wyoming rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.74 / $689.74 / $1,207.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.14 / $1,347.14 / $1,347.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.14 / $1,347.14 / $1,347.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $2,015.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $756.53 / $1,036.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.61 / $914.08 / $1,056.42