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Wyoming rates for HCPCS L2037

Knee-ankle-foot orthosis (KAFO), full plastic, single 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
$1,050.81 / $1,050.81 / $1,643.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.46 / $1,832.46 / $1,832.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.46 / $1,832.46 / $1,832.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.51 / $1,172.51 / $2,064.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.93 / $855.93 / $1,172.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.10 / $936.14 / $1,432.54