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Wyoming rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.88 / $45.88 / $80.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.61 / $89.61 / $89.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.61 / $89.61 / $89.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $99.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $36.97 / $50.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $40.45 / $62.32