go back

Vermont rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.09 / $1,010.46 / $1,189.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.75 / $1,394.48 / $2,050.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.77 / $1,405.68 / $2,050.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.59 / $1,287.75 / $3,743.58