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Wyoming rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $251.19 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $245.47 / $269.15