go back

Wyoming rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,389.80 / $4,389.80 / $7,687.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,573.83 / $8,573.83 / $8,573.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,573.83 / $8,573.83 / $8,573.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $9,505.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $4,410.66 / $6,042.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,498.11 / $5,160.50 / $5,964.13