go back

Colorado rates for HCPCS 21087

Impression and custom preparation; nasal prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.51 / $1,287.51 / $1,599.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.01 / $1,599.87 / $2,020.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.29 / $1,815.43 / $2,869.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.59 / $964.59 / $3,038.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.90 / $2,155.01 / $3,286.31
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,402.24 / $2,098.87 / $2,749.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.03 / $2,065.11 / $3,009.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.53 / $2,438.15 / $3,713.97