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Wyoming rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,141.44 / $3,999.55 / $4,271.60
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
$6,572.00 / $7,886.00 / $11,930.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,298.68 / $6,282.88 / $14,343.80
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
$2,897.30 / $5,428.81 / $10,184.14