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Wyoming rates for HCPCS 21433

Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.99 / $1,749.12 / $2,197.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.00 / $3,973.00 / $6,011.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.84 / $3,498.25 / $4,781.47
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
$2,474.98 / $3,236.34 / $5,863.00