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Tennessee rates for HCPCS 21076

Impression and custom preparation; surgical obturator prosthesis

Facilitymedian $2,188 · 10th–90th $1,122–$4,0740%10%10th90th$2,188Professionalmedian $912 · 10th–90th $692–$1,8200%10%10th90th$912$50.0$200.0$1.0K$5.0K

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
$794.33 / $1,548.82 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $891.25 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,290.87 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,318.26 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,174.90 / $1,862.09
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $4,365.16 / $4,365.16
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,413.10 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,187.76 / $3,981.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,071.52 / $1,737.80