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New Mexico rates for HCPCS 21076

Impression and custom preparation; surgical obturator prosthesis

Facilitymedian $1,445 · 10th–90th $933–$12,0230%20%10th90th$1,445Professionalmedian $912 · 10th–90th $661–$1,5490%20%10th90th$912$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,023.29 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $891.25 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $9,120.11 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,023.29 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,174.90 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $741.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,148.15 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,230.27 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $3,467.37 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,258.93 / $1,778.28