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Oregon rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.45 / $2,764.98 / $4,380.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,381.30 / $7,946.47 / $11,290.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,960.37 / $11,095.33 / $12,255.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,380.72 / $4,512.14 / $10,122.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,048.85 / $3,222.95 / $3,222.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,137.38 / $5,660.60 / $6,895.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,049.77 / $4,380.72 / $10,122.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,973.04 / $7,961.72 / $11,290.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,382.73 / $9,721.75 / $12,751.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,924.58 / $7,854.24 / $10,266.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,268.00 / $24,231.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,591.93 / $5,971.68 / $9,979.77