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Wyoming rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $652.66 / $652.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $997.44 / $1,006.60
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
$863.29 / $863.29 / $863.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $1,294.93 / $1,294.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09