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Wyoming rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $64.75 / $64.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $116.60 / $117.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.24 / $112.05 / $112.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.91 / $100.91 / $100.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $151.37 / $151.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97