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Wyoming rates for HCPCS A2015

Phoenix Wound Matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $103.93 / $111.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.85 / $785.24 / $785.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $1,438.66