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Wyoming rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.20 / $72.20 / $99.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.10 / $35.10 / $68.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.86 / $60.86 / $60.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.86 / $60.86 / $60.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $97.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $49.01 / $67.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.44 / $49.17 / $54.59