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Maryland rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.24 / $1,414.81 / $1,748.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.82 / $1,331.46 / $1,565.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.75 / $1,915.50 / $3,626.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.80 / $1,977.31 / $2,624.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.46 / $1,786.18 / $3,208.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.58 / $1,762.72 / $2,194.73