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Wyoming rates for HCPCS A4617

Mouthpiece

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.86 / $3.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $3.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.84 / $2.14