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Wyoming rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.65 / $423.01 / $699.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.00 / $1,304.00 / $1,304.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $968.00 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.27 / $711.47 / $1,408.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.96 / $1,029.46 / $1,600.20