go back

Wyoming rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.39 / $1,265.19 / $1,608.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,006.39 / $5,006.39 / $5,006.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,313.00 / $2,776.00 / $4,199.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.05 / $2,530.37 / $3,358.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.74 / $2,586.27 / $4,453.81