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Washington, DC rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.88 / $3,001.09 / $3,762.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.88 / $1,614.85 / $3,270.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.01 / $1,456.84 / $4,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.10 / $2,774.09 / $4,278.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,849.87 / $3,570.11 / $3,570.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.92 / $2,429.64 / $4,322.43