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Wyoming rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.01 / $863.01 / $1,511.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.55 / $1,685.55 / $1,685.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.55 / $1,685.55 / $1,685.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $2,317.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $899.89 / $1,232.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.27 / $1,148.11 / $1,326.91