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Washington, DC rates for HCPCS 21086

Impression and custom preparation; auricular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,019.95 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $4,265.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,513.56 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,691.53 / $4,073.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,818.38 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $13,803.84 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,137.96 / $4,073.80