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Alaska rates for HCPCS 21088

Impression and custom preparation; facial prosthesis

Facilitymedian $6,607 · 10th–90th $1,000–$20,8930%20%10th90th$6,607Professionalmedian $3,388 · 10th–90th $955–$13,8040%10%20%10th90th$3,388$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $3,162.28 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $7,585.78 / $9,332.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $6,606.93 / $20,892.96
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $4,265.80 / $17,378.01
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $19,952.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $6,606.93 / $20,892.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $2,754.23 / $9,332.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $8,317.64 / $18,197.01