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Wyoming rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.94 / $220.10 / $344.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.83 / $383.83 / $383.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.83 / $383.83 / $383.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $190.69 / $324.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $139.19 / $190.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.91 / $147.07 / $163.27