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Wyoming rates for HCPCS 21431

Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.14 / $714.57 / $930.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.00 / $1,591.00 / $2,407.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.08 / $1,429.15 / $1,954.00
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
$838.92 / $1,401.86 / $2,557.10