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Wyoming rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.30 / $1,130.30 / $1,979.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.61 / $2,207.61 / $2,207.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,207.61 / $2,207.61 / $2,207.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $2,248.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $998.51 / $1,367.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.44 / $1,347.44 / $1,347.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.60 / $1,359.57 / $1,571.29