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Wyoming rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.41 / $104.41 / $163.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.07 / $182.07 / $182.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.07 / $182.07 / $182.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $205.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $85.05 / $116.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.23 / $92.18 / $92.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.07 / $93.02 / $103.26