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Wyoming rates for HCPCS Q2004

Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.14 / $97.14 / $97.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $121.43 / $121.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $101.19