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Wyoming rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.81 / $1,028.29 / $1,303.68
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
$1,935.00 / $2,322.00 / $3,514.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.50 / $2,056.58 / $3,559.61
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
$1,154.88 / $2,081.23 / $3,539.90