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Wyoming rates for HCPCS L8001

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.54 / $76.54 / $134.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.49 / $149.49 / $149.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.49 / $149.49 / $149.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.15 / $98.15 / $165.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.65 / $71.65 / $98.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.99 / $67.48 / $121.32