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Wyoming rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.52 / $318.52 / $498.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.47 / $555.47 / $555.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.47 / $555.47 / $555.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.88 / $477.88 / $645.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $348.85 / $564.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.48 / $283.76 / $315.04