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Wyoming rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.73 / $47.73 / $74.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.23 / $83.23 / $83.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $83.23 / $83.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $93.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $51.84 / $71.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.43 / $42.52 / $47.20