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Wyoming rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.43 / $54.43 / $85.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.91 / $94.91 / $94.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.91 / $94.91 / $94.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $106.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $73.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.82 / $48.49 / $53.83