go back

Wyoming rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.81 / $163.81 / $286.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.93 / $319.93 / $319.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.93 / $319.93 / $319.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $332.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $121.56 / $166.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.17 / $132.94 / $204.88