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Wyoming rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.37 / $449.37 / $786.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.68 / $877.68 / $877.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.68 / $877.68 / $877.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $1,034.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $327.45 / $448.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.11 / $351.96 / $542.36