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Nationwide rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $2,239 · 10th–90th $224$6,6070%10%10th90th$2,239Professionalmedian $398 · 10th–90th $31$2,1880%10%20%10th90th$398$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
$117.49 / $588.84 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,630.78 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $512.86 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $831.76 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,000.00 / $3,311.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $50.12 / $138.04