go back

Wyoming rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.56 / $2,047.56 / $3,585.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,999.13 / $3,999.13 / $3,999.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,999.13 / $3,999.13 / $3,999.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $4,443.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $3,626.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.23 / $1,822.54 / $2,808.47