go back

Alaska rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.29 / $6,004.33 / $7,209.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,069.11 / $4,310.41 / $6,211.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,883.70 / $4,337.67 / $8,716.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,457.50 / $6,481.50 / $9,360.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,719.50 / $6,538.50 / $9,822.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,069.70 / $7,121.98 / $8,953.34