go back

Wyoming rates for HCPCS L2640

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.01 / $212.01 / $331.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.72 / $369.72 / $369.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.72 / $369.72 / $369.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $416.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $172.70 / $236.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.71 / $188.88 / $209.69