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Wyoming rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.18 / $476.70 / $745.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.30 / $831.30 / $831.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.30 / $831.30 / $831.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $704.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $292.12 / $400.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.76 / $319.49 / $354.70