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Wyoming rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.48 / $29.48 / $46.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.42 / $51.42 / $51.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $36.33 / $57.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $26.52 / $46.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $23.01 / $23.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.98 / $23.21 / $25.77