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Wyoming rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.80 / $141.80 / $248.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.95 / $276.95 / $276.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.95 / $276.95 / $276.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $335.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $127.58 / $174.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.11 / $139.54 / $215.02