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Wyoming rates for HCPCS 90967

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.43 / $17.89 / $22.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $31.00 / $31.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.61 / $27.09 / $55.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $29.59 / $58.91