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Wyoming rates for HCPCS 15115

Epidermal Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.76 / $712.76 / $829.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.00 / $1,642.00 / $1,911.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.81 / $1,060.23 / $1,498.71
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
$920.06 / $1,393.25 / $2,445.29