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Wyoming rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,398.83 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,513.56 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $3,090.30