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Wyoming rates for HCPCS L2030

Knee-ankle-foot orthosis (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'AK' orthosis), without knee joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.12 / $639.12 / $999.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.53 / $1,114.53 / $1,114.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.53 / $1,114.53 / $1,114.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $1,337.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $520.60 / $713.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.61 / $569.38 / $632.12