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Wyoming rates for HCPCS 21400

Closed treatment of fracture of orbit, except blowout; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.50 / $215.61 / $279.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.00 / $588.00 / $588.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.00 / $423.00 / $639.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.54 / $362.73 / $626.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.73 / $346.21 / $624.72