go back

Wyoming rates for HCPCS Q4132

Grafix Core and GrafixPL Core, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.18 / $89.18 / $89.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $116.30 / $117.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.40 / $564.00 / $564.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.66 / $100.66 / $100.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $150.99 / $150.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70