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Wyoming rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $393.87 / $393.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.08 / $471.86 / $471.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $369.90 / $369.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $554.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $392.09