go back

Connecticut rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.80 / $1,593.28 / $3,550.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.78 / $2,324.42 / $3,594.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.68 / $2,706.23 / $3,735.52
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.46 / $2,369.05 / $2,918.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.58 / $2,560.21 / $4,263.71