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Hawaii rates for HCPCS 21086

Impression and custom preparation; auricular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.81 / $1,602.22 / $2,564.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.21 / $2,027.21 / $2,432.66
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.37 / $2,259.05 / $2,508.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.73 / $1,783.95 / $2,027.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.21 / $2,055.17 / $2,707.43
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.37 / $1,525.22 / $2,130.16