search again

Nationwide rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $588.84 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,630.78 / $7,762.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $398.11 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $912.01 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,071.52 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $138.04 / $977.24