go back

Wyoming rates for HCPCS Q4151

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.19 / $137.19 / $137.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $147.03 / $148.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.25 / $127.25 / $127.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $190.88 / $190.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $134.88