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Wyoming rates for HCPCS L5331

Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,362.06 / $3,362.06 / $5,887.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,566.51 / $6,566.51 / $6,566.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,566.51 / $6,566.51 / $6,566.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $7,335.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $2,958.13 / $4,052.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,516.98 / $3,713.13 / $4,291.35