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Wyoming rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $27.31 / $27.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $27.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.64 / $38.40 / $38.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $37.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62