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Mississippi rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,782.41 / $2,782.41 / $6,740.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.45 / $2,782.41 / $6,740.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.58 / $1,371.58 / $1,371.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.00 / $1,010.00 / $1,010.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.60 / $1,442.59 / $1,594.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.18 / $4,250.53 / $6,620.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $42.50 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.86 / $2,840.89 / $4,503.00