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Wyoming rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,620.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,537.44 / $2,537.44 / $2,987.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $304.00 / $469.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.86 / $163.16 / $269.10
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
$182.60 / $359.46 / $431.61