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New Jersey rates for HCPCS 21088

Impression and custom preparation; facial prosthesis

Facilitymedian $8,710 · 10th–90th $1,905–$15,4880%10%10th90th$8,710Professionalmedian $2,818 · 10th–90th $955–$5,4950%10%10th90th$2,818$100.0$500.0$2.0K$10.0K

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
$954.99 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $2,884.03 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,466.84 / $12,882.50
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $7,413.10 / $10,964.78
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,471.29 / $16,595.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,041.74 / $8,511.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $8,709.64 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $3,235.94 / $7,585.78