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Wyoming rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.97 / $56.97 / $89.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.35 / $99.35 / $99.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.35 / $99.35 / $99.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $143.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $48.71 / $66.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.88 / $50.75 / $56.35