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Wyoming rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $15.78 / $24.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.51 / $27.51 / $27.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.51 / $27.51 / $27.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $29.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $15.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $12.61 / $14.00