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Wyoming rates for HCPCS L2036

Knee-ankle-foot orthosis (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.88 / $1,284.88 / $2,009.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.65 / $2,240.65 / $2,240.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,240.65 / $2,240.65 / $2,240.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.07 / $1,306.07 / $2,299.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.43 / $953.43 / $1,306.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.47 / $1,042.77 / $1,157.68