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Rhode Island rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.40 / $1,993.64 / $2,810.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.51 / $1,621.78 / $3,473.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.49 / $2,777.18 / $3,227.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.69 / $2,369.83 / $3,657.90