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Wyoming rates for HCPCS L5781

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,441.63 / $2,441.63 / $4,275.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,768.80 / $4,768.80 / $4,768.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,768.80 / $4,768.80 / $4,768.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.72 / $2,886.72 / $5,287.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.31 / $2,107.31 / $2,886.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.66 / $2,870.29 / $3,317.27