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Wyoming rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.73 / $1,370.73 / $1,370.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,555.92 / $1,570.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.00 / $1,740.00 / $1,740.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.65 / $1,346.65 / $1,346.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $2,019.98 / $2,019.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45