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Wyoming rates for HCPCS 21049

Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.03 / $1,233.22 / $1,526.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,198.00 / $2,638.00 / $3,990.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.75 / $2,416.32 / $3,189.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.67 / $2,416.26 / $4,312.08