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Wyoming rates for HCPCS Q4159

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.17 / $235.17 / $235.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $223.40 / $225.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.67 / $1,266.67 / $1,266.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.35 / $193.35 / $193.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $290.02 / $290.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96