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Wyoming rates for HCPCS 21088

Impression and custom preparation; facial prosthesis

Facilitymedian $5,129 · 10th–90th $2,754–$18,6210%20%10th90th$5,129Professionalmedian $5,495 · 10th–90th $3,020–$12,0230%10%10th90th$5,495$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,311.31 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,000.00 / $12,022.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,370.32 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,760.83 / $18,620.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,370.32 / $10,232.93