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Wyoming rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.78 / $1,394.78 / $2,442.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,724.16 / $2,724.16 / $2,724.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,724.16 / $2,724.16 / $2,724.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $3,477.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $2,769.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.82 / $1,391.68 / $2,144.53