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Wyoming rates for HCPCS 21151

Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.69 / $1,829.45 / $2,290.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,461.00 / $4,153.00 / $6,282.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,525.16 / $3,658.91 / $5,011.27
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
$2,551.92 / $3,665.12 / $6,862.69