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Nationwide rates for HCPCS 21076

Impression and custom preparation; surgical obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,174.90 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,623.41 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,412.54 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,230.27 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,884.03 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $1,862.09