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Wyoming rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.64 / $1,569.64 / $2,748.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,065.70 / $3,065.70 / $3,065.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,065.70 / $3,065.70 / $3,065.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $1,819.89 / $3,439.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.52 / $1,328.52 / $1,819.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.25 / $1,453.01 / $2,239.04