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Mississippi rates for HCPCS 21076

Impression and custom preparation; surgical obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $776.25 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $398.11 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,348.96 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,513.56 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $977.24 / $2,089.30