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Wyoming rates for HCPCS 69719

Rplcmt Oi Implt Skull Mag Tc Attachment Esp<100

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.87 / $617.87 / $617.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.00 / $1,258.00 / $2,515.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.77 / $1,090.11 / $1,455.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.89 / $1,492.35 / $2,373.38