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North Dakota rates for HCPCS 21086

Impression and custom preparation; auricular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,380.38 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,584.89 / $3,311.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,311.31 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,951.21 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,187.76 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,162.28 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,943.28 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,818.38 / $3,715.35