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Arizona rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.45 / $3,876.75 / $4,271.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.34 / $1,895.86 / $2,156.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,665.61 / $3,753.11 / $6,327.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,876.75 / $5,407.00 / $8,412.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.27 / $2,898.58 / $25,045.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.85 / $2,895.36 / $6,324.06