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Wyoming rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.85 / $48.85 / $48.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $57.50 / $58.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.77 / $49.77 / $49.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $74.65 / $74.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75