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Mississippi rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.63 / $1,425.14 / $3,055.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.63 / $1,649.02 / $3,055.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.36 / $968.36 / $968.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,488.00 / $3,488.00 / $3,488.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.33 / $696.70 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.73 / $2,555.50 / $3,490.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.11 / $1,906.84 / $4,121.56