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Wyoming rates for HCPCS 77333

Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.65 / $38.65 / $39.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.74 / $132.74 / $141.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.65 / $38.65 / $39.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.08 / $94.08 / $102.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.00 / $511.00 / $511.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.00 / $146.00 / $146.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.00 / $365.00 / $365.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.30 / $98.08 / $430.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.11 / $62.12 / $142.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.19 / $25.88 / $287.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.75 / $204.61 / $264.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.74 / $77.34 / $129.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.09 / $127.69 / $176.92