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Wyoming rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $51.29 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $46.77 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $47.86 / $72.44