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Arkansas rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.31 / $1,180.07 / $1,389.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.96 / $998.31 / $1,345.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.79 / $1,411.79 / $1,694.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.80 / $1,005.62 / $1,228.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,519.08 / $2,519.08 / $2,519.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.58 / $1,355.18 / $1,674.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,229.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.92 / $1,214.67 / $1,754.50