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Wyoming rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.14 / $89.37 / $112.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $156.00 / $156.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.97 / $136.71 / $274.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.99 / $148.47 / $295.64