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Wyoming rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.86 / $3,638.86 / $3,638.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,638.86 / $3,638.86 / $3,660.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,919.73 / $4,611.45 / $4,611.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.62 / $3,453.62 / $3,453.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $5,180.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83