go back

Wyoming rates for HCPCS 21246

Reconstruction of mandible or maxilla, subperiosteal implant; complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.32 / $860.35 / $1,093.83
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
$1,619.00 / $1,943.00 / $2,940.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.13 / $1,720.71 / $2,363.03
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
$1,209.32 / $1,736.85 / $2,888.61