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Wyoming rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.99 / $601.14 / $822.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.00 / $588.00 / $588.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.00 / $1,131.00 / $1,712.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.21 / $1,021.61 / $1,686.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.72 / $1,145.08 / $1,870.69