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Wyoming rates for HCPCS 77076

Radiologic examination, osseous survey, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $112.20 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $169.82 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $181.97 / $316.23