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Wyoming rates for HCPCS L5859

Addition To Lower Extremity Prosthesis Endoskeletal Knee-Shin System Powered And Programmable Flexion/Extension Assist Control Includes Any Type Motor(S)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,853.93 / $8,853.93 / $15,505.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,292.83 / $17,292.83 / $17,292.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,292.83 / $17,292.83 / $17,292.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $19,172.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $8,340.66 / $9,812.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,301.45 / $10,445.82 / $12,169.09