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Wyoming rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $194.83 / $194.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $603.79 / $609.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.50 / $1,250.00 / $1,250.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $522.58 / $522.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $783.87 / $783.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94