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Wyoming rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.99 / $48.99 / $76.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.43 / $85.43 / $85.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.43 / $85.43 / $85.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $96.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.44 / $43.64 / $48.45