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Wyoming rates for HCPCS L8002

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.68 / $100.68 / $176.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.64 / $196.64 / $196.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.64 / $196.64 / $196.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.62 / $120.62 / $218.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $88.05 / $120.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.23 / $88.76 / $159.58