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Wyoming rates for HCPCS 61613

Obltrj Carotid Arysm Artven Carotid Fistula Dsj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,302.96 / $3,302.96 / $3,302.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,686.00 / $8,023.00 / $12,914.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,158.58 / $5,422.51 / $7,663.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,671.16 / $7,956.38 / $12,813.24