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Wyoming rates for HCPCS 21127

Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,290.87 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,691.53 / $11,481.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $3,235.94 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $3,548.13 / $12,022.64