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Wyoming rates for HCPCS 43762

Perq Replacement Gtube Not Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.12 / $204.12 / $204.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $155.00 / $289.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $149.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.21 / $181.12 / $499.17
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
$256.06 / $406.35 / $832.93