go back

Wyoming rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.56 / $1,657.56 / $2,902.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,237.42 / $3,237.42 / $3,237.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,237.42 / $3,237.42 / $3,237.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $4,016.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,249.23 / $1,711.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.86 / $1,366.29 / $2,105.41