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Wyoming rates for HCPCS 13101

Repair, complex, trunk; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,480.50 / $13,480.50 / $13,480.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.13 / $405.14 / $868.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.00 / $604.00 / $838.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.27 / $459.73 / $705.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.22 / $684.60 / $1,235.33