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Kentucky rates for HCPCS 21079

Impression and custom preparation; interim obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.71 / $1,296.46 / $1,800.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.76 / $1,378.32 / $1,973.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.14 / $1,555.02 / $2,481.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.00 / $1,984.19 / $3,072.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $812.70 / $1,495.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.39 / $2,091.46 / $3,075.75