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Wyoming rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.41 / $1,064.41 / $1,064.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,015.00 / $2,418.00 / $3,658.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.34 / $1,749.30 / $2,464.71
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
$1,552.09 / $2,539.80 / $4,102.57