go back

Wyoming rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.71 / $245.71 / $430.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.89 / $479.89 / $479.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.89 / $479.89 / $479.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $543.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $175.04 / $239.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.14 / $246.57 / $284.95