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Wyoming rates for HCPCS Q4128

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.70 / $30.70 / $30.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $32.60 / $32.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $28.22 / $28.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $42.33 / $42.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91