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Wyoming rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $49.22 / $76.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.83 / $85.83 / $85.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.83 / $85.83 / $85.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $97.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $48.75 / $66.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.63 / $43.85 / $48.68