go back

Wyoming rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.88 / $162.88 / $254.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.06 / $284.06 / $284.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.06 / $284.06 / $284.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $342.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $128.34 / $175.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.17 / $132.96 / $147.61