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Wyoming rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.11 / $198.99 / $289.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.00 / $761.00 / $1,177.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.39 / $433.96 / $739.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.75 / $751.99 / $1,230.24