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California rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.62 / $1,649.02 / $10,101.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.40 / $1,599.87 / $7,245.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,977.00 / $13,012.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.56 / $2,318.54 / $4,398.21
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $100.00 / $16,022.33
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.92 / $1,928.45 / $4,129.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.55 / $1,324.90 / $2,368.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.38 / $2,059.02 / $3,893.32
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.72 / $1,865.49 / $2,331.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.64 / $1,810.90 / $3,129.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,903.87 / $6,389.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,538.00 / $11,734.30 / $13,273.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.06 / $2,026.00 / $2,814.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.47 / $2,174.12 / $3,947.14
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,495.72 / $4,495.72 / $5,485.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,799.00 / $12,341.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.51 / $1,788.60 / $3,718.95