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Oregon rates for HCPCS 21088

Impression and custom preparation; facial prosthesis

Facilitymedian $6,918 · 10th–90th $4,169$6,9180%50%10th$6,918Professionalmedian $3,236 · 10th–90th $955$7,4130%10%20%10th90th$3,236$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$4,365.16 / $4,365.16 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $3,090.30 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $7,244.36 / $10,232.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $11,220.18 / $12,589.25
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,365.16 / $6,760.83
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $3,235.94 / $5,754.40
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $6,918.31 / $6,918.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,365.16 / $8,128.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $89.13 / $10,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,232.93 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,413.10 / $11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $15,135.61 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $5,495.41 / $8,709.64