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Wyoming rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.51 / $17.51 / $17.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $17.51 / $18.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.19 / $21.40 / $21.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $26.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44