go back

Wyoming rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.97 / $665.97 / $807.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.00 / $1,526.00 / $1,846.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.90 / $1,001.38 / $1,449.08
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
$851.84 / $1,319.50 / $2,280.31