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Wyoming rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.55 / $356.55 / $356.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $380.43 / $383.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.50 / $810.00 / $810.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.26 / $329.26 / $329.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $493.89 / $493.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $349.02