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Vermont rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.91 / $1,866.54 / $2,171.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.84 / $2,597.40 / $3,774.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.00 / $2,615.48 / $3,774.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,211.89 / $2,370.90 / $6,892.38