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Kentucky rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $10,715 · 10th–90th $724–$66,0690%20%40%10th90th$10,715Professionalmedian $2,188 · 10th–90th $0–$85,1140%20%40%10th90th$2,188$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
$3,801.89 / $10,715.19 / $11,220.18
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
$66,069.34 / $85,113.80 / $114,815.36
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63,095.73 / $79,432.82 / $97,723.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $44.67 / $67.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $724.44 / $1,949.84