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Illinois rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.13 / $2,263.21 / $3,407.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.58 / $1,557.88 / $2,893.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.43 / $13,512.51 / $29,472.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.91 / $2,243.59 / $3,201.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $1,310.40 / $1,462.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.53 / $2,099.09 / $3,303.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.82 / $2,446.91 / $8,642.91
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.78 / $1,634.66 / $2,151.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,432.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.45 / $2,192.89 / $3,834.59