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Delaware rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,735.88 / $3,110.40 / $3,110.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.91 / $1,529.91 / $1,529.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,365.59 / $3,764.09 / $5,611.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.34 / $1,907.61 / $3,494.28