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Kentucky rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.10 / $1,328.92 / $1,976.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.58 / $1,443.64 / $1,976.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.07 / $1,521.80 / $2,173.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.91 / $1,691.35 / $1,951.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.92 / $1,691.35 / $2,718.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,762.49 / $2,222.92 / $2,222.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.60 / $2,159.21 / $3,369.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $906.47 / $1,643.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.97 / $2,191.53 / $3,267.50