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Delaware rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $501.19