go back

Wyoming rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $73.81 / $115.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.71 / $128.71 / $128.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.71 / $128.71 / $128.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $132.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $75.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.19 / $59.95 / $66.56