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Alabama rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $195 · 10th–90th $85$1,1220%10%10th90th$195Professionalmedian $138 · 10th–90th $138$1380%50%100%$138$50.0$100.0$200.0$500.0$1.0K$2.0K

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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $95.50 / $128.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $549.54 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04