go back

New Jersey rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.45 / $961.45 / $961.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.30 / $968.92 / $3,303.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,929.25 / $4,144.64 / $9,022.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.31 / $7,478.21 / $10,317.82
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,134.65 / $7,884.56 / $17,097.55
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.52 / $2,082.66 / $4,532.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.65 / $2,706.21 / $6,528.82