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Wyoming rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,416.39 / $2,416.39 / $4,231.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,719.50 / $4,719.50 / $4,719.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,719.50 / $4,719.50 / $4,719.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.08 / $3,578.08 / $5,316.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $4,797.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.12 / $2,411.02 / $3,715.30