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Vermont rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.81 / $1,860.18 / $2,175.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,676.24 / $5,676.24 / $5,676.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.84 / $2,601.67 / $3,774.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.67 / $2,625.93 / $3,774.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.76 / $2,370.90 / $6,892.38