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Wyoming rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.31 / $66.31 / $66.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $73.33 / $74.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.32 / $207.43 / $207.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.47 / $63.47 / $63.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $95.20 / $95.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27