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Wyoming rates for HCPCS L5505

Initial, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.88 / $1,181.88 / $2,069.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,308.36 / $2,308.36 / $2,308.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.36 / $2,308.36 / $2,308.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $2,600.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,182.59 / $1,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.31 / $1,041.48 / $1,604.89