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Nebraska rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.91 / $1,199.91 / $1,470.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.91 / $1,470.63 / $7,245.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,022.12 / $7,920.73 / $15,321.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.84 / $2,179.65 / $3,000.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.18 / $1,010.18 / $1,010.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,503.50 / $3,499.25 / $4,817.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.90 / $2,426.54 / $5,292.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.19 / $3,499.25 / $9,617.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.19 / $3,206.00 / $4,325.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,836.36 / $3,499.25 / $4,233.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.19 / $3,434.70 / $4,679.05