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Wyoming rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.82 / $1,653.82 / $1,653.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,733.69 / $1,749.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,550.00 / $3,000.00 / $3,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.51 / $1,500.51 / $1,500.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $2,250.76 / $2,250.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54