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Wyoming rates for HCPCS Q4153

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.60 / $108.60 / $108.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $150.34 / $151.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $130.12 / $130.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $195.18 / $195.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93