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Wyoming rates for HCPCS L5940

Addition Endoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.37 / $401.37 / $702.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.92 / $783.92 / $783.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.92 / $783.92 / $783.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $878.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $278.88 / $382.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.47 / $300.36 / $462.84