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Wyoming rates for HCPCS 13122

Repair Complex Scalp/Arm/Leg Ea Addl 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.21 / $108.73 / $128.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.00 / $193.00 / $268.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.73 / $157.08 / $239.67
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
$130.07 / $224.41 / $401.71