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Wyoming rates for HCPCS Q4201

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.23 / $79.23 / $79.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $82.94 / $83.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.18 / $335.50 / $335.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.78 / $71.78 / $71.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $107.67 / $107.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $76.09