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Wyoming rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.39 / $262.39 / $400.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.00 / $693.00 / $924.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.60 / $495.16 / $723.19
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
$433.43 / $686.41 / $1,238.60