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Wyoming rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,077.09 / $3,077.09 / $5,388.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,009.93 / $6,009.93 / $6,009.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,009.93 / $6,009.93 / $6,009.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $6,444.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $2,721.75 / $3,728.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,313.71 / $3,416.67 / $3,948.74