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Wyoming rates for HCPCS L1110

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.13 / $161.13 / $251.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.98 / $280.98 / $280.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.98 / $280.98 / $280.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $225.30 / $398.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $164.47 / $225.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.74 / $143.54 / $159.36