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Florida rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $2,512 · 10th–90th $692$5,3700%10%10th90th$2,512Professionalmedian $1,230 · 10th–90th $245$1,8200%10%20%10th90th$1,230$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $4,897.79 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $398.11 / $10,000.00
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,691.53 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,412.54 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $1,445.44 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $39.81 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52