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Wyoming rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $531.47 / $536.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.00 / $980.00 / $980.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.99 / $459.99 / $459.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $689.98 / $689.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59