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Kansas rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.78 / $1,900.97 / $2,524.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.65 / $1,584.14 / $2,524.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.11 / $2,248.36 / $2,704.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.31 / $2,106.23 / $3,334.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.65 / $2,129.26 / $5,316.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.89 / $2,447.23 / $11,810.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.67 / $2,155.59 / $3,557.10