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Wyoming rates for HCPCS L1902

Ankle orthosis (AO), ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $50.36 / $78.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.83 / $87.83 / $87.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.83 / $87.83 / $87.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.00 / $58.00 / $104.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $42.34 / $58.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $44.87 / $49.81