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Wyoming rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,911.23 / $3,911.23 / $6,849.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,639.11 / $7,639.11 / $7,639.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,639.11 / $7,639.11 / $7,639.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $7,698.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $3,187.46 / $4,366.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,808.01 / $3,106.84 / $4,787.54