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Idaho rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.09 / $1,168.46 / $1,784.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.21 / $465.21 / $466.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.45 / $1,228.97 / $1,608.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.09 / $1,478.78 / $2,076.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.82 / $1,426.62 / $1,754.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,248.42 / $1,570.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,749.17 / $3,789.62 / $4,803.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.67 / $1,470.13 / $1,770.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.82 / $1,346.28 / $1,993.06