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Florida rates for HCPCS 21088

Impression and custom preparation; facial prosthesis

Facilitymedian $10,000 · 10th–90th $1,995–$22,9090%10%10th90th$10,000Professionalmedian $2,884 · 10th–90th $1,000–$4,5710%20%10th90th$2,884$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,570.40 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $2,884.03 / $4,365.16
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $4,677.35 / $12,302.69
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,951.21 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $1,380.38 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,890.45 / $7,413.10
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $13,489.63 / $23,988.33
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $3,019.95 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $5,011.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $9,332.54 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,754.23 / $5,754.40
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $3,162.28