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Florida rates for HCPCS 21076

Impression and custom preparation; surgical obturator prosthesis

Facilitymedian $4,074 · 10th–90th $741–$9,3330%5%10%10th90th$4,074Professionalmedian $871 · 10th–90th $661–$1,4130%10%20%10th90th$871$50.0$200.0$1.0K$5.0K$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
$691.83 / $812.83 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $870.96 / $1,380.38
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $4,168.69 / $12,302.69
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $870.96 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $389.05 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,071.52 / $1,778.28
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $5,248.07 / $10,471.29
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $724.44 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $549.54 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $3,311.31 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $912.01 / $1,621.81
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $676.08 / $977.24