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Wyoming rates for HCPCS 21408

Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.89 / $912.90 / $1,153.11
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
$1,732.00 / $2,078.00 / $3,144.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.85 / $1,825.79 / $2,508.82
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
$1,282.32 / $1,728.99 / $3,051.11