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Wyoming rates for HCPCS L5530

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.74 / $1,135.74 / $1,988.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.23 / $2,218.23 / $2,218.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,218.23 / $2,218.23 / $2,218.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.39 / $1,295.39 / $2,428.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $945.63 / $1,295.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.77 / $1,034.25 / $1,593.75