go back

Texas rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.18 / $1,441.38 / $2,420.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.19 / $1,557.88 / $2,493.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.75 / $1,169.48 / $4,275.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.80 / $1,506.32 / $2,438.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,111.76 / $1,132.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.92 / $2,222.92 / $2,222.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.41 / $2,079.98 / $3,281.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $6,389.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,538.00 / $11,704.32 / $13,273.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.59 / $2,041.68 / $3,081.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.96 / $2,099.55 / $2,799.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.50 / $2,324.50 / $2,324.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.59 / $2,052.34 / $3,119.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.00 / $2,207.03 / $3,309.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.74 / $1,886.13 / $2,915.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.33 / $1,513.10 / $2,105.08