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Wyoming rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.19 / $20.19 / $31.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.20 / $35.20 / $35.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.20 / $35.20 / $35.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $39.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $35.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $17.98 / $19.96