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Nevada rates for HCPCS 21077

Impression & Preparation Orbital Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.06 / $1,807.76 / $2,189.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.06 / $1,992.10 / $9,823.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,452.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.27 / $2,393.42 / $3,111.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.85 / $948.85 / $948.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,941.14 / $2,700.64 / $3,960.32
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.03 / $2,064.87 / $3,434.21
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,537.87 / $6,537.87 / $6,537.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $1,693.96 / $3,260.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,145.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.46 / $2,719.97 / $4,087.45