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Wyoming rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.99 / $1,223.99 / $1,516.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,144.00 / $3,863.00 / $5,977.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.34 / $2,033.39 / $3,414.54
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
$2,113.66 / $3,580.61 / $5,761.79