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Wyoming rates for HCPCS 21249

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.79 / $1,348.25 / $1,777.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.00 / $2,545.00 / $3,850.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.13 / $2,365.44 / $3,726.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.57 / $2,819.70 / $4,955.58