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Wyoming rates for HCPCS L1220

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.72 / $145.72 / $227.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.13 / $254.13 / $254.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.13 / $254.13 / $254.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $284.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $135.50 / $185.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $124.52 / $138.24