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Wyoming rates for HCPCS L8000

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.58 / $22.58 / $39.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.10 / $44.10 / $44.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $44.10 / $44.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $53.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $25.55 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.76 / $21.86 / $39.29