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Minnesota rates for HCPCS 21086

Impression and custom preparation; auricular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,621.81 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $9,120.11 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,388.44 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,754.40 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,265.80 / $6,760.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $10,964.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,981.07 / $6,309.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,630.27 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,467.37 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,943.28 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,884.03 / $5,248.07