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California rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.91 / $1,652.54 / $10,101.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.81 / $1,652.53 / $6,570.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.00 / $5,863.00 / $11,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.56 / $2,289.38 / $4,401.74
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $100.00 / $15,838.91
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.87 / $1,929.82 / $4,131.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.55 / $1,324.90 / $2,368.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.41 / $2,058.42 / $3,902.77
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.72 / $1,865.49 / $2,331.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.49 / $1,805.58 / $3,239.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,903.87 / $6,389.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,538.00 / $11,704.32 / $13,273.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.06 / $2,031.30 / $2,831.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.80 / $2,184.48 / $3,950.71
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,495.72 / $4,495.72 / $5,485.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,799.00 / $12,341.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.21 / $1,810.69 / $3,816.61