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Wyoming rates for HCPCS Q4249

AMNIPLY, for topical use only, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.55 / $1,789.55 / $1,789.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $2,147.17 / $2,166.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,296.02 / $2,701.20 / $2,701.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.38 / $1,858.38 / $1,858.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $2,787.58 / $2,787.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89