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Wyoming rates for HCPCS E1816

Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.80 / $951.80 / $1,629.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,817.30 / $1,817.30 / $1,817.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.30 / $1,817.30 / $1,817.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.63 / $107.63 / $107.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.49 / $91.49 / $107.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.95 / $80.72 / $874.51