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Wyoming rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.35 / $644.35 / $1,128.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.48 / $1,258.48 / $1,258.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.48 / $1,258.48 / $1,258.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $1,417.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $1,279.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.08 / $857.22 / $990.71