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Rhode Island rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.40 / $1,993.64 / $2,795.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.51 / $1,621.78 / $3,473.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.49 / $2,777.18 / $3,212.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.89 / $2,369.83 / $3,657.90