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Wyoming rates for HCPCS 57155

Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.57 / $284.57 / $399.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.00 / $745.00 / $1,117.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.02 / $568.91 / $840.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.40 / $801.77 / $1,669.82