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Wyoming rates for HCPCS 75872

Venography, epidural, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.86 / $123.86 / $128.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.47 / $106.75 / $326.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.00 / $544.00 / $544.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.04 / $272.57 / $424.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.33 / $276.52 / $817.31