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Oregon rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,451.61 / $1,740.66 / $2,149.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.15 / $1,010.31 / $2,511.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.06 / $1,672.94 / $2,395.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.01 / $1,805.16 / $2,138.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.31 / $1,563.84 / $2,279.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.69 / $1,546.28 / $2,210.36
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.78 / $1,668.31 / $1,921.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.31 / $1,563.84 / $2,279.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.44 / $1,702.27 / $2,309.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,539.74 / $4,494.80 / $5,709.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.36 / $1,767.00 / $2,433.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $5,130.00 / $7,385.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.72 / $1,832.68 / $2,675.99