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Iowa rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.88 / $2,061.27 / $2,810.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,658.12 / $3,656.32 / $4,570.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.33 / $2,275.94 / $6,303.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.02 / $3,483.55 / $7,221.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,847.04 / $3,485.28 / $11,810.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.25 / $3,206.00 / $4,325.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,838.40 / $3,485.42 / $4,325.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.43 / $2,747.56 / $4,818.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,437.55 / $2,944.50 / $3,630.00