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Wyoming rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.86 / $208.30 / $325.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.24 / $363.24 / $363.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.24 / $363.24 / $363.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $306.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $127.25 / $174.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.79 / $139.18 / $154.51