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Colorado rates for HCPCS 21086

Impression and custom preparation; auricular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.51 / $1,287.51 / $1,599.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.51 / $1,599.87 / $2,020.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.11 / $1,815.43 / $2,869.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.59 / $964.59 / $3,038.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.90 / $2,155.01 / $3,286.31
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,402.24 / $2,100.32 / $2,751.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.03 / $2,065.11 / $3,009.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.36 / $2,541.06 / $4,028.49