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North Carolina rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.59 / $3,034.59 / $6,529.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.92 / $3,034.59 / $3,615.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,829.34 / $5,389.45 / $8,563.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $2,393.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,290.22 / $4,752.43 / $7,932.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.59 / $3,971.17 / $5,917.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,971.17 / $3,971.17 / $5,481.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.69 / $2,364.69 / $2,364.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.67 / $3,177.47 / $6,582.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,212.24 / $21,368.21
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,897.44 / $39,483.44 / $39,483.44