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Wyoming rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.83 / $659.69 / $896.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,752.00 / $2,752.00 / $2,752.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.00 / $1,236.00 / $1,870.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.58 / $1,168.20 / $1,965.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.92 / $1,335.25 / $2,493.39