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Wyoming rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.00 / $152.00 / $152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.19 / $369.19 / $577.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.82 / $643.82 / $643.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.82 / $643.82 / $643.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $759.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $298.27 / $408.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.85 / $326.23 / $362.18