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Minnesota rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.69 / $1,591.90 / $1,591.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.69 / $1,599.87 / $2,519.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,422.30 / $11,518.20 / $22,807.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,359.12 / $3,853.88 / $5,528.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,869.05 / $5,489.62 / $13,206.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,638.46 / $4,276.71 / $6,752.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,517.32 / $5,018.83 / $10,398.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,422.73 / $3,853.09 / $6,156.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.90 / $2,616.81 / $4,363.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.64 / $3,480.77 / $9,617.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.67 / $3,306.46 / $6,304.15