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Wyoming rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,266.31 / $2,266.31 / $3,968.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,426.38 / $4,426.38 / $4,426.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,426.38 / $4,426.38 / $4,426.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $4,907.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $1,826.95 / $2,502.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.95 / $1,998.13 / $3,079.07