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Alaska rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,897.05 / $3,897.05 / $4,637.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.83 / $3,897.05 / $7,865.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,375.15 / $4,745.99 / $6,750.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.92 / $6,609.53 / $11,011.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,153.78 / $4,665.66 / $9,375.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,875.00 / $6,971.60 / $10,290.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.92 / $6,685.47 / $11,011.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,993.90 / $7,147.50 / $10,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,460.92 / $7,645.70 / $9,814.02