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Wyoming rates for HCPCS 21040

Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.57 / $471.40 / $644.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,752.00 / $2,752.00 / $2,752.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.00 / $888.00 / $1,344.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.63 / $789.24 / $1,310.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $6,486.14 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.04 / $987.68 / $1,678.30