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Wyoming rates for HCPCS Q4190

Artacent AC, 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
$112.20 / $112.20 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $138.04 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $812.83