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Wyoming rates for HCPCS L5500

Initial, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.34 / $1,015.34 / $1,778.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,983.08 / $1,983.08 / $1,983.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.08 / $1,983.08 / $1,983.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $2,221.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $703.15 / $963.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.07 / $769.04 / $1,185.07