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Wyoming rates for HCPCS L5701

Replacement Socket Above Knee/Knee Disarticulation Including Attachment Plate Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,272.91 / $2,272.91 / $3,980.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,439.27 / $4,439.27 / $4,439.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,439.27 / $4,439.27 / $4,439.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.04 / $2,550.04 / $5,234.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $1,861.53 / $2,550.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.13 / $2,035.96 / $3,137.34