go back

Maine rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.81 / $1,666.86 / $2,118.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.72 / $1,684.02 / $2,428.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.27 / $2,362.62 / $3,415.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.58 / $1,981.86 / $3,517.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.81 / $1,746.86 / $2,118.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.35 / $2,439.86 / $3,404.01