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Wyoming rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.24 / $1,542.24 / $1,542.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,628.91 / $1,643.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,406.17 / $2,830.80 / $2,830.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.82 / $1,409.82 / $1,409.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $2,114.73 / $2,114.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41