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Wyoming rates for HCPCS 21440

Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.39 / $716.62 / $928.33
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
$1,165.00 / $1,457.00 / $2,204.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.13 / $1,117.41 / $2,065.48
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
$635.75 / $1,204.57 / $1,941.27