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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
$54.21 / $54.21 / $84.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.53 / $94.53 / $94.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.53 / $94.53 / $94.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $111.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $45.12 / $61.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.08 / $47.66 / $72.94