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California rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.68 / $1,453.85 / $6,602.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.39 / $2,120.36 / $3,989.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.36 / $1,820.53 / $3,869.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.31 / $1,891.68 / $3,545.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.49 / $1,745.43 / $2,181.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.16 / $1,660.90 / $3,021.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,716.32 / $10,873.20 / $12,352.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.63 / $1,990.30 / $3,640.11
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,096.49 / $4,096.49 / $5,022.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.53 / $1,666.18 / $3,433.02