go back

Wyoming rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.86 / $348.86 / $610.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.36 / $681.36 / $681.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.36 / $681.36 / $681.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $575.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $247.11 / $338.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.95 / $261.06 / $402.28