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Wyoming rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,220.57 / $2,220.57 / $2,220.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,254.63 / $2,275.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,825.40 / $3,324.00 / $3,324.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.39 / $1,951.39 / $1,951.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,927.08 / $2,927.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46