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Wyoming rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.36 / $743.76 / $940.96
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
$1,422.00 / $1,706.00 / $2,581.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.85 / $1,263.70 / $2,061.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $6,489.22 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.50 / $1,462.71 / $2,273.64