go back

Alaska rates for HCPCS 21087

Impression and custom preparation; nasal prosthesis

Facilitymedian $2,884 · 10th–90th $1,380–$8,7100%10%10th90th$2,884Professionalmedian $2,188 · 10th–90th $1,380–$6,4570%10%10th90th$2,188$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,778.28 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,691.53 / $5,623.41
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,818.38 / $7,943.28
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,466.84 / $8,128.31
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,309.57 / $9,332.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,754.23 / $7,943.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $2,454.71 / $4,786.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $6,456.54 / $9,332.54