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Wyoming rates for HCPCS 73050

Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.33 / $9.33 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $40.74 / $70.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.00 / $22.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $28.84 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $114.82 / $114.82
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $36.31 / $36.31
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $52.48 / $109.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $17.38 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $35.48 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $54.95 / $107.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $16.98 / $33.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $38.02 / $74.13