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Wyoming rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.31 / $417.31 / $730.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.06 / $815.06 / $815.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.06 / $815.06 / $815.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $800.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $344.78 / $472.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.93 / $338.50 / $521.61