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Wyoming rates for HCPCS L0700

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.31 / $1,290.31 / $2,017.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,250.13 / $2,250.13 / $2,250.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.13 / $2,250.13 / $2,250.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $1,703.99 / $3,340.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,243.91 / $1,703.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.99 / $1,136.29 / $1,515.05