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Arizona rates for HCPCS 21086

Impression and custom preparation; auricular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.60 / $1,557.88 / $2,683.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.34 / $1,895.86 / $2,156.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.62 / $1,902.74 / $3,228.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.51 / $1,978.17 / $6,182.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.72 / $2,027.21 / $11,810.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.14 / $1,810.69 / $3,489.03