go back

Oregon rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.78 / $3,157.13 / $3,904.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.81 / $1,894.94 / $4,054.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,956.38 / $3,064.75 / $4,363.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.87 / $3,261.85 / $3,842.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.20 / $2,846.99 / $4,232.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,255.40 / $2,810.61 / $4,029.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.07 / $3,100.68 / $3,605.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.20 / $2,897.28 / $4,232.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.48 / $3,122.93 / $4,220.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,382.73 / $9,721.75 / $12,751.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.00 / $3,218.97 / $4,436.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $24,231.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,368.08 / $3,473.68 / $4,934.83