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Wyoming rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.95 / $38.95 / $75.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.54 / $67.54 / $67.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.54 / $67.54 / $67.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $107.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $62.03 / $84.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $55.35 / $61.45