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North Dakota rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.44 / $755.44 / $912.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.86 / $844.68 / $912.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.72 / $1,831.93 / $2,267.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.53 / $1,811.69 / $2,752.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.44 / $1,212.58 / $1,551.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.56 / $1,788.62 / $5,296.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.36 / $1,689.26 / $2,055.59