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Utah rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,167.34 / $2,167.34 / $2,493.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.95 / $1,992.17 / $7,245.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.65 / $2,160.85 / $3,179.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $937.93 / $1,498.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,692.40 / $2,405.40 / $4,568.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.49 / $1,908.67 / $2,808.54