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Wyoming rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $588.84 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,071.52 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,011.87 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,071.52 / $2,137.96