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Wyoming rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,132.71 / $3,132.71 / $5,486.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,118.56 / $6,118.56 / $6,118.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,118.56 / $6,118.56 / $6,118.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $7,621.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $5,176.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.30 / $2,601.52 / $4,008.86