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Wyoming rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.63 / $2,124.46 / $2,631.93
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
$4,109.00 / $4,931.00 / $7,459.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,386.76 / $3,611.58 / $5,812.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $11,831.32 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.96 / $3,761.99 / $6,524.28