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Nationwide rates for HCPCS 21087

Impression and custom preparation; nasal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,137.96 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,621.81 / $3,235.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $6,760.83 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,995.26 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $3,715.35 / $11,481.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,290.87 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,244.36 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $3,388.44