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Wyoming rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.07 / $1,107.07 / $1,938.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,162.23 / $2,162.23 / $2,162.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.23 / $2,162.23 / $2,162.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $2,397.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $1,942.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.19 / $976.08 / $1,504.11