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Wyoming rates for HCPCS 21387

Open treatment of orbital floor blowout fracture; combined approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.79 / $776.13 / $1,001.62
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
$1,470.00 / $1,764.00 / $2,669.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.64 / $1,449.95 / $2,135.73
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
$857.39 / $1,569.28 / $2,558.40