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Wyoming rates for HCPCS L5650

Additions to lower extremity, total contact, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.63 / $390.63 / $684.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.94 / $762.94 / $762.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.94 / $762.94 / $762.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.03 / $379.03 / $644.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.69 / $276.69 / $581.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.20 / $389.76 / $450.45