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Washington, DC rates for HCPCS 21076

Impression and custom preparation; surgical obturator prosthesis

Facilitymedian $891 · 10th–90th $708$7,7620%20%10th90th$891Professionalmedian $891 · 10th–90th $692$1,9950%10%20%10th90th$891$1.0K$2.0K$5.0K$10.0K$20.0K

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
$707.95 / $707.95 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $870.96 / $1,995.26
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,862.09 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,258.93 / $2,187.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,584.89 / $1,949.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $6,606.93 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,096.48 / $2,187.76