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Wyoming rates for HCPCS 77762

Intracavitary Radiation Source Applic Intermed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.47 / $543.47 / $563.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.47 / $543.47 / $549.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.00 / $2,301.00 / $2,301.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.78 / $746.24 / $1,909.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.76 / $909.60 / $1,641.36