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Wyoming rates for HCPCS L5972

All Lower Extremity Prostheses Foot Flexible Keel (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.20 / $264.20 / $462.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.02 / $516.02 / $516.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.02 / $516.02 / $516.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $515.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $293.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.73 / $281.38 / $325.19