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Wyoming rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.87 / $572.87 / $895.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.01 / $999.01 / $999.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.01 / $999.01 / $999.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $710.11 / $1,107.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $897.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.59 / $450.97 / $500.65