go back

Wyoming rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $87.24 / $88.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.65 / $589.00 / $589.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.51 / $75.51 / $75.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $113.26 / $113.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04