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Wyoming rates for HCPCS 71275

Ct Angiography Chest W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.63 / $82.63 / $84.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $334.30 / $496.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.13 / $88.52 / $429.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.21 / $218.37 / $403.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.00 / $1,228.00 / $1,228.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$219.00 / $361.00 / $361.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$528.00 / $867.00 / $867.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.13 / $588.19 / $1,075.51
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.62 / $158.22 / $262.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.26 / $427.84 / $780.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.48 / $594.13 / $1,509.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.73 / $163.52 / $295.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.75 / $414.43 / $1,213.30