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Wyoming rates for HCPCS 21196

Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.47 / $1,457.28 / $1,796.76
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
$2,724.00 / $3,269.00 / $4,945.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.31 / $2,914.56 / $3,981.00
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
$1,634.38 / $2,813.20 / $4,984.20