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Wyoming rates for HCPCS 77011

Computed tomography guidance for stereotactic localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.26 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $63.10 / $134.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $173.78 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $831.76 / $831.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $234.42 / $234.42
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $512.86 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $97.72 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $363.08 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $426.58 / $2,089.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $109.65 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.15 / $363.08 / $1,905.46