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Wyoming rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $14,791.08 / $25,703.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $28,840.32 / $28,840.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,840.32 / $28,840.32 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $32,359.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $25,703.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $16,982.44 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $12,882.50 / $19,952.62