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Wyoming rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.69 / $728.69 / $898.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.00 / $1,672.00 / $2,055.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.20 / $1,092.15 / $1,563.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.52 / $1,477.81 / $2,666.67