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Wyoming rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,334.25 / $2,334.25 / $4,087.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,559.07 / $4,559.07 / $4,559.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,559.07 / $4,559.07 / $4,559.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.00 / $3,249.00 / $5,411.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.77 / $2,371.77 / $3,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.50 / $2,803.67 / $3,240.28