go back

Indiana rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.58 / $1,485.71 / $2,472.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.59 / $1,450.79 / $1,993.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.24 / $2,205.90 / $3,037.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.09 / $1,669.15 / $2,503.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.04 / $1,828.80 / $2,633.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.54 / $902.54 / $1,069.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.00 / $2,007.67 / $3,474.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.72 / $1,954.62 / $3,377.22