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Rhode Island rates for HCPCS 21088

Impression and custom preparation; facial prosthesis

Facilitymedian $6,918 · 10th–90th $3,236$13,1830%10%10th90th$6,918Professionalmedian $2,692 · 10th–90th $813$4,2660%10%20%10th90th$2,692$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,122.02 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,495.41 / $6,456.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $6,918.31 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,235.94 / $6,918.31