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Iowa rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $741 · 10th–90th $363–$2,1380%10%10th90th$741Professionalmedian $151 · 10th–90th $69–$7240%20%40%10th90th$151$100.0$200.0$500.0$1.0K$2.0K

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
$724.44 / $724.44 / $724.44
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $691.83 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $741.31 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $83.18