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Nevada rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.95 / $1,332.91 / $1,629.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.95 / $1,483.15 / $7,245.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,452.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.19 / $1,745.32 / $2,387.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.57 / $708.57 / $708.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.91 / $1,969.05 / $2,933.70
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.75 / $1,500.44 / $2,521.02
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,537.87 / $6,537.87 / $6,537.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.80 / $1,249.50 / $2,418.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,145.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.50 / $2,026.34 / $3,002.03