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Wyoming rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $218.78 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $251.19 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $190.55 / $338.84