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Wyoming rates for HCPCS 21497

Interdental Wiring Other Than Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.29 / $721.77 / $980.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.00 / $1,304.00 / $1,304.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.00 / $1,356.00 / $2,051.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.80 / $1,252.27 / $2,019.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,962.56 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.02 / $1,365.20 / $2,212.61