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Wyoming rates for HCPCS 21436

Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.13 / $2,052.46 / $2,584.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,894.00 / $4,673.00 / $7,069.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,782.68 / $4,104.93 / $5,628.00
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
$2,286.85 / $4,124.85 / $6,954.99