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Wyoming rates for HCPCS 21048

Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.19 / $1,025.24 / $1,329.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.00 / $2,286.00 / $3,457.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.56 / $2,050.46 / $2,782.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.55 / $2,124.41 / $3,746.61