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Wyoming rates for HCPCS L1840

Knee orthosis (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.09 / $580.09 / $907.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.60 / $1,011.60 / $1,011.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.60 / $1,011.60 / $1,011.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $1,167.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $1,028.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.08 / $516.79 / $573.73