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Wyoming rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.76 / $200.76 / $313.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.10 / $350.10 / $350.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.10 / $350.10 / $350.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $197.94 / $388.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $144.50 / $197.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.84 / $158.03 / $175.46