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Colorado rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,271.60 / $4,271.60 / $4,271.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.30 / $3,246.55 / $4,271.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,224.34 / $4,330.52 / $7,048.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.28 / $1,997.28 / $6,291.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,476.59 / $4,474.04 / $6,451.82
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.87 / $4,271.60 / $7,176.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $5,230.00 / $5,230.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.66 / $3,755.20 / $7,052.26