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Wyoming rates for HCPCS Q4137

AmnioExcel, AmnioExcel Plus or BioDExcel, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.72 / $100.72 / $100.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $110.87 / $111.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.98 / $270.57 / $270.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.96 / $95.96 / $95.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $143.94 / $143.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72