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Wyoming rates for HCPCS 21138

Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.64 / $923.22 / $1,168.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,006.39 / $5,006.39 / $5,006.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.00 / $2,106.00 / $3,186.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.54 / $1,778.31 / $2,543.67
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
$973.19 / $1,843.92 / $3,035.49