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Wyoming rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.92 / $1,702.92 / $2,982.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,326.01 / $3,326.01 / $3,326.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,326.01 / $3,326.01 / $3,326.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $4,449.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $1,752.00 / $2,400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.08 / $1,639.81 / $2,526.89