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Wyoming rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $40.14 / $62.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.98 / $69.98 / $69.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.98 / $69.98 / $69.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $78.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $52.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $35.75 / $54.71