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Nevada rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,012.27 / $3,012.27 / $3,310.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.45 / $3,310.19 / $3,876.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.21 / $1,483.10 / $4,807.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.17 / $1,467.17 / $1,467.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.74 / $3,641.21 / $5,627.33
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $8.27 / $1,700.53
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,584.18 / $3,584.18 / $3,584.18
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $5.52 / $5.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,145.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.60 / $2,713.76 / $5,700.39