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Wyoming rates for HCPCS L5160

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.62 / $2,570.62 / $4,501.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,020.72 / $5,020.72 / $5,020.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,020.72 / $5,020.72 / $5,020.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $5,751.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $2,679.32 / $3,670.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.14 / $2,287.12 / $5,673.77