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Nevada rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,467.37 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $707.95 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $1,288.25 / $2,041.74