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Kansas rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,895.86 / $3,895.86 / $5,048.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,246.55 / $3,253.45 / $5,048.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.24 / $1,566.16 / $1,566.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.00 / $3,320.11 / $6,123.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,483.07 / $9,122.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.55 / $3,683.46 / $25,045.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,618.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.14 / $3,664.24 / $5,477.15