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Wyoming rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.85 / $20.85 / $20.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $21.77 / $21.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $26.62 / $26.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $18.84 / $18.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $28.26 / $28.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97