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Wyoming rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.81 / $1,081.81 / $1,691.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,886.53 / $1,886.53 / $1,886.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.53 / $1,886.53 / $1,886.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $2,124.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $881.18 / $1,207.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.06 / $963.76 / $1,069.96