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Minnesota rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.86 / $873.03 / $873.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.86 / $889.88 / $1,380.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.98 / $4,152.59 / $6,973.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.90 / $2,116.90 / $3,044.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,129.83 / $3,021.92 / $7,269.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.39 / $2,359.16 / $3,753.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,936.21 / $2,762.76 / $5,724.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.45 / $2,132.07 / $3,422.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.03 / $1,434.36 / $2,370.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.80 / $1,871.52 / $5,296.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.87 / $1,815.90 / $3,423.47