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Georgia rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,331.18 / $2,285.76 / $3,388.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.04 / $1,629.79 / $3,606.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.26 / $4,412.76 / $8,702.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.23 / $2,129.53 / $3,577.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.39 / $2,904.39 / $2,904.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.52 / $2,222.92 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.32 / $2,446.09 / $4,005.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.28 / $2,188.27 / $4,216.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.72 / $2,406.48 / $3,738.25