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Delaware rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $145 · 10th–90th $145–$5010%20%40%90th$145Professionalmedian $603 · 10th–90th $603–$6030%50%100%$603$200.0$500.0

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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $501.19