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Wyoming rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.02 / $755.02 / $907.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.00 / $1,741.00 / $2,088.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.87 / $1,135.83 / $1,599.04
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
$890.95 / $1,518.01 / $2,739.21