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Wyoming rates for HCPCS 21395

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Bone Grf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.75 / $1,020.27 / $1,286.82
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
$1,930.00 / $2,316.00 / $3,504.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.27 / $2,040.54 / $2,792.52
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
$1,097.06 / $2,042.92 / $3,246.11