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Wyoming rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.69 / $2,188.69 / $3,832.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,274.78 / $4,274.78 / $4,274.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,274.78 / $4,274.78 / $4,274.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $5,169.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $2,191.15 / $3,001.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.14 / $1,975.10 / $3,043.56