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Wyoming rates for HCPCS L1720

Legg Perthes orthosis, trilateral, (Tachdijan type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.33 / $831.33 / $1,299.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.73 / $1,449.73 / $1,449.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.73 / $1,449.73 / $1,449.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.77 / $1,149.77 / $1,918.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $839.33 / $1,149.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.38 / $740.61 / $822.23