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Wyoming rates for HCPCS L5270

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,567.75 / $3,567.75 / $6,248.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,968.26 / $6,968.26 / $6,968.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,968.26 / $6,968.26 / $6,968.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $8,064.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $3,551.46 / $4,865.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,783.41 / $4,106.16 / $4,745.60