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Wyoming rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.17 / $357.17 / $558.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.86 / $622.86 / $622.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.86 / $622.86 / $622.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $645.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $515.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.40 / $259.33 / $287.92