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Wyoming rates for HCPCS L5925

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.86 / $268.86 / $470.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.12 / $525.12 / $525.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.12 / $525.12 / $525.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $587.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $190.44 / $260.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.84 / $201.20 / $310.04