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Nationwide rates for HCPCS 21088

Impression and custom preparation; facial prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,235.94 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $3,019.95 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,754.40 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,513.56 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $5,623.41 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,677.35 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $6,918.31 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,090.30 / $7,244.36