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Florida rates for HCPCS 21076

Impression and custom preparation; surgical obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $812.83 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $389.05 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,071.52 / $1,819.70
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,786.30 / $9,549.93
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $549.54 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,548.13 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,584.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $933.25