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Minnesota rates for HCPCS 21087

Impression and custom preparation; nasal prosthesis

Facilitymedian $6,607 · 10th–90th $1,585–$21,3800%5%10%10th90th$6,607Professionalmedian $3,162 · 10th–90th $1,549–$5,7540%5%10%10th90th$3,162$50.0$200.0$1.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,584.89 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,621.81 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $13,803.84 / $33,113.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,548.13 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,754.40 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,265.80 / $6,760.83
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,623.41 / $11,220.18
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,981.07 / $6,309.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,630.27 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,388.44 / $9,549.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $8,709.64 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,951.21 / $5,370.32