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Wyoming rates for HCPCS Q4199

Cygnus matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.26 / $130.26 / $130.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $121.16 / $122.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.90 / $474.00 / $474.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.86 / $104.86 / $104.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $157.29 / $157.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15