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Wyoming rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34