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Kentucky rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.45 / $2,675.87 / $3,375.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.92 / $2,967.68 / $3,375.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.00 / $540.00 / $799.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,007.52 / $6,970.20 / $8,338.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,163.10 / $6,970.20 / $10,633.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,181.37 / $5,181.37 / $5,181.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.00 / $4,502.89 / $20,185.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.15 / $1,452.68 / $2,132.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.96 / $3,496.70 / $5,979.42