go back

Florida rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $398.11 / $10,000.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,454.71 / $4,168.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,584.89 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $39.81 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52