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Florida rates for HCPCS 21089

Unlisted Maxillofacial Prosthetic Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.00 / $570.00 / $794.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.00 / $2,406.00 / $4,241.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.30 / $1,365.72 / $1,986.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $5,107.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.64 / $1,066.64 / $1,066.64