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Florida rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.45 / $1,386.41 / $2,579.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.45 / $2,579.00 / $3,876.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $1,389.94 / $1,654.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,403.73 / $3,739.56 / $6,071.50
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $3,004.16 / $6,154.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $4,671.82 / $5,612.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.08 / $2,695.59 / $5,578.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.52 / $1,738.52 / $1,738.52