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Wyoming rates for HCPCS Q4175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.72 / $67.72 / $67.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $99.78 / $100.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $160.00 / $160.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $86.36 / $86.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $129.54 / $129.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54