go back

Vermont rates for HCPCS 21088

Impression & Preparation Facial Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.45 / $961.45 / $3,661.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,399.60 / $6,331.89 / $7,546.87
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.30 / $6,367.78 / $7,546.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322.31 / $4,326.97 / $12,787.10