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Wyoming rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $11.50 / $17.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $20.05 / $20.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $20.05 / $20.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $21.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $9.11 / $9.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.19 / $10.22