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Alabama rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.09 / $1,138.09 / $1,368.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.55 / $870.38 / $1,368.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.29 / $489.41 / $658.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.12 / $1,038.40 / $1,210.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.05 / $1,081.38 / $2,905.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,768.00 / $3,360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.08 / $927.33 / $1,551.53