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Nationwide rates for HCPCS 21089

Unlisted Maxillofacial Prosthetic Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.75 / $470.25 / $767.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $3,647.00 / $6,240.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.00 / $702.50 / $856.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.16 / $2,117.16 / $2,117.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $1,158.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.72 / $138.72 / $141.58