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Wyoming rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.27 / $915.80 / $1,432.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,558.00 / $3,070.00 / $4,750.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.27 / $1,615.42 / $2,172.75
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
$1,092.88 / $1,779.12 / $3,582.48