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Wyoming rates for HCPCS L5830

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.75 / $1,138.75 / $1,994.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.12 / $2,224.12 / $2,224.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,224.12 / $2,224.12 / $2,224.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $2,741.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,207.81 / $1,654.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.93 / $1,514.96 / $1,750.88