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Wyoming rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.34 / $66.34 / $66.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $71.81 / $72.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $180.00 / $180.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $62.15 / $62.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $93.23 / $93.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88