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Wyoming rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.94 / $952.94 / $1,002.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.83 / $829.83 / $952.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,331.00 / $3,830.00 / $3,830.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.88 / $1,135.45 / $3,061.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.86 / $1,597.36 / $2,736.81