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Wyoming rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,237.46 / $2,273.87 / $2,910.69
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
$4,286.00 / $5,143.00 / $7,780.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,533.62 / $3,865.57 / $6,213.70
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
$2,190.86 / $4,077.74 / $7,120.83