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Wyoming rates for HCPCS 21348

Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.27 / $1,106.16 / $1,367.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.00 / $2,524.00 / $3,818.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.19 / $2,212.31 / $3,046.32
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
$1,522.42 / $2,221.04 / $3,857.10