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Wyoming rates for HCPCS L1290

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.59 / $49.59 / $77.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.47 / $86.47 / $86.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.47 / $86.47 / $86.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.55 / $60.55 / $97.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $44.20 / $60.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.92 / $44.18 / $49.04