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Louisiana rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.91 / $1,845.13 / $2,454.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.49 / $1,859.27 / $2,652.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.44 / $1,921.50 / $2,720.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.18 / $1,791.94 / $3,101.93