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Wyoming rates for HCPCS L5828

Addition Endoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.72 / $1,905.72 / $3,337.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,722.11 / $3,722.11 / $3,722.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,722.11 / $3,722.11 / $3,722.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $4,140.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $3,365.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.30 / $1,690.94 / $2,605.67