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Wyoming rates for HCPCS L8030

Breast Prosthesis Silicone Or Equal (Special Coverage Instructions Apply. See Mcm: 2130 A)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.64 / $213.64 / $374.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.27 / $417.27 / $417.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.27 / $417.27 / $417.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $470.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $216.08 / $296.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.74 / $188.91 / $339.62