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Indiana rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $4,467 · 10th–90th $2,138$8,7100%20%10th90th$4,467Professionalmedian $0 · 10th–90th $0$00%50%100%$0$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $74,131.02 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $2,238.72 / $7,413.10