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Wyoming rates for HCPCS L5920

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.64 / $421.64 / $738.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.51 / $823.51 / $823.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.51 / $823.51 / $823.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $700.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $290.50 / $397.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.14 / $317.70 / $489.58