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Wyoming rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.42 / $508.42 / $794.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.61 / $886.61 / $886.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.61 / $886.61 / $886.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $964.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $382.77 / $524.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.37 / $418.64 / $464.77