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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
$72.44 / $100.00 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $67.61 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $48.98 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $48.98 / $74.13