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Florida rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.03 / $1,370.60 / $1,642.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.01 / $1,532.62 / $2,070.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $671.27 / $799.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.01 / $1,955.94 / $3,258.28
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.10 / $1,548.58 / $1,962.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.97 / $1,159.08 / $2,001.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.42 / $1,815.82 / $3,129.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.77 / $1,227.59 / $1,227.59