go back

New Mexico rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.49 / $1,316.49 / $1,614.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.49 / $1,614.23 / $2,564.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.12 / $2,282.56 / $3,037.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $269.43 / $2,245.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.79 / $2,060.34 / $2,688.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.57 / $2,401.80 / $3,388.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.67 / $2,446.39 / $3,859.64