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Wyoming rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.61 / $53.61 / $83.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.49 / $93.49 / $93.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.49 / $93.49 / $93.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $105.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.16 / $47.76 / $53.02