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Arizona rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.42 / $806.13 / $3,959.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.61 / $1,053.77 / $1,198.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.84 / $1,034.00 / $1,747.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.40 / $1,060.70 / $2,158.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.48 / $1,113.08 / $6,495.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.68 / $941.26 / $1,709.88