go back

Wyoming rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.05 / $635.05 / $1,112.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.33 / $1,240.33 / $1,240.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.33 / $1,240.33 / $1,240.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $1,518.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $512.74 / $702.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.84 / $560.78 / $864.14