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Wyoming rates for HCPCS L1810

Knee orthosis (KO), elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.71 / $63.71 / $99.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.09 / $111.09 / $111.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.09 / $111.09 / $111.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $124.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $88.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.03 / $55.35 / $61.45