go back

North Dakota rates for HCPCS 21086

Impression and custom preparation; auricular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.06 / $1,383.06 / $1,680.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.69 / $1,557.88 / $1,969.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.91 / $3,307.67 / $4,077.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.31 / $3,265.42 / $5,029.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.06 / $2,190.82 / $2,732.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.57 / $3,353.26 / $9,617.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.67 / $3,082.11 / $3,783.27