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Wyoming rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.41 / $277.41 / $433.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.76 / $483.76 / $483.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.76 / $483.76 / $483.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $433.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $179.66 / $246.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.59 / $196.49 / $218.14