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Wyoming rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.60 / $185.60 / $290.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.66 / $323.66 / $323.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.66 / $323.66 / $323.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $348.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $138.63 / $189.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.04 / $151.62 / $232.02