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North Dakota rates for HCPCS 21088

Impression and custom preparation; facial prosthesis

Facilitymedian $3,162 · 10th–90th $2,818–$8,5110%20%40%10th90th$3,162Professionalmedian $2,884 · 10th–90th $955–$5,4950%20%10th90th$2,884$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $2,818.38 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,311.31 / $5,011.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $6,309.57 / $8,511.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,548.13 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,943.28 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,981.07 / $6,606.93