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Wyoming rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $173.78 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $204.17 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $151.36 / $234.42