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Wyoming rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $436.51 / $436.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $436.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.77 / $587.96 / $587.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $407.57 / $407.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $611.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02