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Wyoming rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.59 / $1,022.59 / $1,022.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,605.00 / $4,030.00 / $4,836.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.50 / $1,292.30 / $1,938.44
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
$940.07 / $1,743.00 / $2,947.10