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Wyoming rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.99 / $1,908.99 / $3,343.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.49 / $3,728.49 / $3,728.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,728.49 / $3,728.49 / $3,728.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $4,107.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $3,214.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.10 / $2,406.23 / $2,780.96