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Wyoming rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.39 / $743.72 / $882.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.00 / $1,747.00 / $2,096.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.13 / $1,133.70 / $1,647.98
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
$874.49 / $1,545.01 / $2,787.93