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Wyoming rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.31 / $330.31 / $330.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $502.88 / $507.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.80 / $1,668.00 / $1,668.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $435.24 / $435.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $652.86 / $652.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36