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Wyoming rates for HCPCS L1755

Legg Perthes orthosis, (Patten bottom type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.86 / $998.86 / $1,561.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,741.87 / $1,741.87 / $1,741.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.87 / $1,741.87 / $1,741.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $2,007.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $1,770.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.26 / $889.85 / $987.91