go back

Delaware rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.83 / $1,269.40 / $1,563.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.87 / $738.87 / $738.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.16 / $1,698.12 / $3,031.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.98 / $2,081.21 / $3,768.96