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Wyoming rates for HCPCS 76120

Cineradiography/videoradiography, except where specifically included

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $95.59 / $141.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.23 / $16.17 / $21.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.13 / $79.42 / $119.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.00 / $494.00 / $494.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.00 / $80.00 / $80.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.00 / $414.00 / $414.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.64 / $121.36 / $233.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.72 / $29.94 / $51.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.66 / $100.64 / $194.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.13 / $183.59 / $249.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.03 / $37.18 / $58.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.10 / $158.75 / $193.70