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Tennessee rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.30 / $2,576.03 / $3,530.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.30 / $1,583.22 / $2,499.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,835.00 / $5,486.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.96 / $2,119.27 / $3,265.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.44 / $2,180.85 / $3,482.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,389.32 / $6,389.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,538.00 / $11,734.30 / $13,273.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.11 / $1,979.75 / $3,603.90