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Illinois rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.72 / $1,414.26 / $2,615.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,843.27 / $4,330.57 / $4,558.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.45 / $1,917.87 / $3,020.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.41 / $2,263.39 / $4,710.32
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.05 / $1,492.32 / $1,997.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,258.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.30 / $2,030.29 / $3,589.29