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Wyoming rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.30 / $11.30 / $11.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $8.49 / $10.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $17.30 / $28.34