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Idaho rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.70 / $2,160.34 / $3,269.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.48 / $808.48 / $810.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.01 / $2,242.51 / $2,993.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.30 / $2,691.88 / $3,786.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.48 / $2,566.11 / $3,195.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,250.23 / $2,830.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.13 / $2,670.03 / $3,228.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.69 / $2,583.46 / $3,667.36