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Wyoming rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.52 / $519.52 / $519.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $519.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.98 / $604.67 / $604.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $480.15 / $480.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $720.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96