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Wyoming rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $2,238.72 / $3,235.94
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
$1,288.25 / $2,344.23 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,884.03 / $6,918.31
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
$912.01 / $3,162.28 / $8,709.64