go back

Wyoming rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.04 / $1,319.04 / $2,062.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,300.21 / $2,300.21 / $2,300.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.21 / $2,300.21 / $2,300.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $2,550.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $2,066.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.49 / $1,038.36 / $1,152.79