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Washington, DC rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.88 / $1,290.88 / $1,614.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.88 / $1,572.56 / $1,614.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.01 / $1,587.96 / $12,839.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.77 / $2,774.09 / $4,278.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,849.87 / $3,570.11 / $3,570.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.19 / $2,158.16 / $4,322.43