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Wyoming rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

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
$277.45 / $277.45 / $470.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $202.54 / $277.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.74 / $251.88 / $339.62