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Wyoming rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.64 / $501.68 / $629.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,006.39 / $5,006.39 / $5,006.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.00 / $1,127.00 / $1,705.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.81 / $983.28 / $1,372.69
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
$652.08 / $1,030.98 / $1,879.79