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Wyoming rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.86 / $142.86 / $142.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $143.77 / $145.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.50 / $450.00 / $450.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.43 / $124.43 / $124.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $186.65 / $186.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90