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Wyoming rates for HCPCS L2755

Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.10 / $89.10 / $139.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.38 / $155.38 / $155.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.38 / $155.38 / $155.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $172.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $88.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.41 / $70.16 / $77.89