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Wyoming rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.01 / $1,219.01 / $2,134.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.88 / $2,380.88 / $2,380.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,380.88 / $2,380.88 / $2,380.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $2,639.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $982.72 / $1,346.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.42 / $1,433.07 / $1,656.24