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Wyoming rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.43 / $113.43 / $193.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.00 / $462.00 / $765.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.16 / $268.01 / $429.51
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
$289.30 / $510.44 / $856.66