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Wyoming rates for HCPCS Q4194

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.78 / $717.78 / $717.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $723.35 / $729.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.05 / $626.05 / $626.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $939.09 / $939.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63