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Wyoming rates for HCPCS 21247

Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.39 / $1,599.14 / $2,031.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,007.00 / $3,608.00 / $5,459.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.32 / $3,120.48 / $4,385.58
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
$1,849.80 / $3,199.17 / $5,606.90