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Ohio rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.83 / $2,019.55 / $5,773.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.83 / $1,530.43 / $2,869.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,792.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.92 / $1,671.34 / $2,727.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.29 / $1,476.31 / $1,827.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.60 / $2,096.94 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.10 / $2,076.07 / $3,113.64
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.92 / $2,222.92 / $2,222.92
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.10 / $2,083.44 / $3,094.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $1,101.04 / $1,870.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.15 / $2,128.50 / $3,306.96