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Wyoming rates for HCPCS L8015

External breast prosthesis garment, with mastectomy form, post mastectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.59 / $36.59 / $64.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.45 / $71.45 / $71.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.45 / $71.45 / $71.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.82 / $46.82 / $79.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $46.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.21 / $32.33 / $58.11