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Wyoming rates for HCPCS 58752

Tubouterine implantation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.70 / $922.70 / $922.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.00 / $2,042.00 / $3,062.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.93 / $1,526.31 / $2,091.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.19 / $2,100.71 / $3,354.14