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Wyoming rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.40 / $543.40 / $849.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.62 / $947.62 / $947.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.62 / $947.62 / $947.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.98 / $751.98 / $1,199.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.95 / $548.95 / $963.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.54 / $479.78 / $479.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.54 / $484.10 / $537.45