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Kansas rates for HCPCS 21076

Impression and custom preparation; surgical obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,174.90 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,348.96 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,230.27 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,479.11