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Nationwide rates for HCPCS 21076

Impression and custom preparation; surgical obturator prosthesis

Facilitymedian $2,884 · 10th–90th $813$8,9130%5%10th90th$2,884Professionalmedian $955 · 10th–90th $692$2,0890%20%10th90th$955$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,174.90 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $891.25 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,623.41 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,096.48 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $2,041.74 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,230.27 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,691.53 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,047.13 / $1,905.46