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Kentucky rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.82 / $734.39 / $1,070.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.55 / $795.84 / $1,185.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.63 / $821.92 / $1,179.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.68 / $934.68 / $999.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.86 / $1,118.08 / $1,829.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.83 / $1,228.44 / $1,228.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.02 / $1,178.84 / $1,818.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,057.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.25 / $1,218.33 / $1,820.01