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Wyoming rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.63 / $2,235.63 / $3,915.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.46 / $4,366.46 / $4,366.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,366.46 / $4,366.46 / $4,366.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $4,841.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $3,922.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.51 / $1,971.11 / $3,037.41