go back

Wyoming rates for HCPCS 21150

Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.15 / $1,663.23 / $2,085.67
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
$3,145.00 / $3,774.00 / $5,710.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.19 / $3,326.47 / $4,557.74
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
$1,994.75 / $3,294.59 / $5,497.68