go back

Wyoming rates for HCPCS 20150

Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.71 / $1,012.52 / $1,274.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.20 / $2,767.20 / $2,767.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.00 / $2,320.00 / $3,510.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.11 / $1,834.68 / $2,789.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.50 / $1,880.45 / $3,273.40