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Wyoming rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.81 / $383.81 / $600.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.32 / $669.32 / $669.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.32 / $669.32 / $669.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $742.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $306.22 / $419.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.08 / $302.14 / $335.44