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Georgia rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.65 / $3,219.53 / $3,219.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.56 / $3,199.87 / $3,664.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,634.62 / $5,292.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.00 / $1,960.12 / $5,897.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,918.46 / $2,500.00 / $5,181.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.48 / $4,655.95 / $9,322.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.15 / $5,540.75 / $17,340.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.15 / $2,443.86 / $7,702.01