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Missouri rates for HCPCS 21086

Impression and custom preparation; auricular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.33 / $1,324.30 / $1,643.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.51 / $1,442.09 / $3,489.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.78 / $1,857.29 / $2,963.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.86 / $2,128.42 / $3,373.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.82 / $2,149.03 / $4,707.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.67 / $2,597.98 / $11,810.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.70 / $2,101.57 / $3,402.44