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Wyoming rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.55 / $41.55 / $41.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $42.85 / $43.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.00 / $1,140.00 / $1,140.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $37.09 / $37.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $55.63 / $55.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31