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Alabama rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,968.74 / $4,968.74 / $4,968.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.45 / $2,579.00 / $4,968.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.29 / $489.41 / $658.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.74 / $1,926.00 / $2,228.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.48 / $2,987.81 / $4,643.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.94 / $2,677.62 / $3,783.56