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Wyoming rates for HCPCS 14301

Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.44 / $886.44 / $1,110.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.00 / $2,047.00 / $2,561.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.71 / $1,336.05 / $1,939.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.64 / $1,851.61 / $3,341.19