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Wyoming rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.36 / $102.36 / $179.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.92 / $199.92 / $199.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.92 / $199.92 / $199.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $168.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $72.50 / $99.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $76.59 / $153.54