go back

Nevada rates for HCPCS 21089

Unlisted Maxillofacial Prosthetic Procedure

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,779.00 / $3,647.00 / $4,098.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.00 / $766.00 / $910.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $200.00 / $493.00
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.64 / $256.64 / $256.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,427.00 / $1,998.00