go back

Wyoming rates for HCPCS Q4235

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.48 / $80.48 / $80.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $95.89 / $96.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.00 / $83.00 / $83.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $124.50 / $124.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98