go back

Massachusetts rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.64 / $1,443.64 / $1,759.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.81 / $1,687.00 / $2,810.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.61 / $4,751.20 / $7,942.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.61 / $2,860.02 / $11,704.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.88 / $1,919.64 / $3,426.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.90 / $2,625.76 / $4,551.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,026.59 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.44 / $2,216.05 / $3,015.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.38 / $3,393.12 / $4,525.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.62 / $3,453.34 / $11,704.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,895.07 / $2,742.62 / $4,843.47