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Nevada rates for HCPCS 21077

Impression and custom preparation; orbital prosthesis

Facilitymedian $3,548 · 10th–90th $1,660–$8,1280%20%10th90th$3,548Professionalmedian $2,291 · 10th–90th $1,698–$4,2660%10%10th90th$2,291$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,819.70 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,238.72 / $4,365.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $8,128.31 / $8,128.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,511.89 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,691.53 / $4,073.80
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,949.84 / $3,467.37
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $2,238.72 / $3,235.94
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,187.76 / $3,890.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $2,884.03 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,570.40 / $3,890.45