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Indiana rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.72 / $1,327.28 / $1,800.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.57 / $1,982.53 / $2,862.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.15 / $1,630.98 / $2,038.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.85 / $1,852.03 / $3,193.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.12 / $1,730.47 / $3,075.75