go back

Wyoming rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.84 / $164.84 / $164.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $176.17 / $177.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.65 / $446.65 / $446.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.47 / $152.47 / $152.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $228.71 / $228.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62