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Wyoming rates for HCPCS L5782

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.02 / $2,574.02 / $4,507.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,027.38 / $5,027.38 / $5,027.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,027.38 / $5,027.38 / $5,027.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $5,573.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $2,404.69 / $3,294.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.16 / $2,269.44 / $3,497.15