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Wyoming rates for HCPCS L0710

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.71 / $1,505.71 / $2,354.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,625.74 / $2,625.74 / $2,625.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.74 / $2,625.74 / $2,625.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.06 / $1,549.06 / $2,771.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.81 / $1,130.81 / $1,549.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.93 / $1,173.83 / $1,303.18