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Rhode Island rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $525 · 10th–90th $224–$3,8020%10%10th90th$525Professionalmedian $1,380 · 10th–90th $1,380–$1,3800%50%100%$1,380$200.0$500.0$1.0K$2.0K$5.0K

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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $380.19 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,230.27 / $5,128.61