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Wyoming rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.00 / $1,955.03 / $2,932.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.60 / $1,373.60 / $1,373.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,391.00 / $4,069.00 / $6,155.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,746.01 / $3,611.64 / $5,122.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.57 / $3,844.51 / $6,259.02