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Wyoming rates for HCPCS 15130

Dermal Autograft Trunk/Arm/Leg 1st 100 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.07 / $615.07 / $739.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.00 / $1,412.00 / $1,702.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.49 / $913.40 / $1,229.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.33 / $1,258.43 / $1,901.89