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Wyoming rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.72 / $359.72 / $562.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.29 / $627.29 / $627.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.29 / $627.29 / $627.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $677.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $373.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.55 / $276.36 / $276.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.03 / $278.85 / $309.58