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Wyoming rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.67 / $1,419.67 / $2,219.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,475.71 / $2,475.71 / $2,475.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,475.71 / $2,475.71 / $2,475.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $1,618.14 / $2,735.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.24 / $1,181.24 / $1,618.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.49 / $1,100.33 / $1,221.58