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Wyoming rates for HCPCS 19301

Mastectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.25 / $1,802.25 / $2,738.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,403.25 / $4,488.00 / $5,474.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.00 / $1,664.00 / $1,997.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.65 / $1,102.83 / $1,525.28
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
$913.00 / $1,536.32 / $2,482.92