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Maine rates for HCPCS 21087

Impression and custom preparation; nasal prosthesis

Facilitymedian $12,023 · 10th–90th $12,023–$12,0230%50%100%$12,023Professionalmedian $1,820 · 10th–90th $1,349–$3,5480%10%10th90th$1,820$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,778.28 / $3,548.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,862.09 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,290.87 / $3,630.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,041.74 / $3,981.07
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,698.24 / $2,238.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,041.74 / $3,548.13