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Wyoming rates for HCPCS Q4074

Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.91 / $179.91 / $179.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $149.91 / $149.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $224.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $158.91