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Wyoming rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.87 / $750.90 / $948.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,251.20 / $11,251.20 / $11,251.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.00 / $1,724.00 / $2,609.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.66 / $1,501.75 / $2,080.59
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
$997.61 / $1,485.00 / $2,659.80