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Idaho rates for HCPCS 21079

Impression and custom preparation; interim obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.20 / $1,962.02 / $3,006.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.01 / $2,054.56 / $2,807.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.24 / $2,385.71 / $2,930.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,089.90 / $2,629.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,974.34 / $2,466.65 / $2,969.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.42 / $2,353.87 / $3,371.45