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Wyoming rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.85 / $715.85 / $870.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.00 / $1,648.00 / $2,002.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.08 / $1,081.42 / $1,535.62
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
$928.46 / $1,448.40 / $2,407.91