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Wyoming rates for HCPCS 21179

Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.68 / $1,535.54 / $1,933.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,905.00 / $3,486.00 / $5,273.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.64 / $2,651.46 / $4,197.35
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
$1,673.58 / $3,078.66 / $5,081.68