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Wyoming rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.30 / $1,406.30 / $2,462.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,746.67 / $2,746.67 / $2,746.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,746.67 / $2,746.67 / $2,746.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $1,486.28 / $2,616.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,084.98 / $1,486.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.51 / $1,186.65 / $1,828.59