go back

Michigan rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.48 / $1,705.65 / $2,070.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.40 / $1,642.48 / $2,070.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.16 / $330.16 / $1,942.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.18 / $2,039.24 / $3,350.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.58 / $1,886.14 / $2,839.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.48 / $1,818.22 / $1,993.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.87 / $1,818.22 / $2,725.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.00 / $1,085.21 / $1,820.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.79 / $2,125.71 / $2,950.54