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Wyoming rates for HCPCS 21423

Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.82 / $810.26 / $1,041.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.00 / $1,835.00 / $2,776.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.93 / $1,616.90 / $2,218.89
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
$903.35 / $1,551.05 / $2,733.91