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Wyoming rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.84 / $1,428.21 / $1,825.21
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
$2,684.00 / $3,221.00 / $4,873.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.03 / $2,856.42 / $3,919.58
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
$1,562.74 / $2,859.95 / $4,871.10