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Alabama rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,070.78 / $2,070.78 / $2,505.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.03 / $1,628.41 / $2,505.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.25 / $93.75 / $126.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.74 / $1,911.80 / $2,228.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,935.63 / $5,394.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.35 / $1,614.46 / $2,857.59