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Maryland rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $48 · 10th–90th $36–$6460%10%20%10th90th$48Professionalmedian $1,380 · 10th–90th $1,380–$1,3800%50%100%$1,380$50.0$100.0$200.0$500.0$1.0K

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
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $40.74 / $128.82