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Wyoming rates for HCPCS L1630

Hip Orthosis Abduction Control Of Hip Joints Semi-Flexible (Von Rosen Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.90 / $106.90 / $167.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.43 / $186.43 / $186.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.43 / $186.43 / $186.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $229.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $189.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.08 / $95.24 / $105.74