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Michigan rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.24 / $1,494.06 / $1,901.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.95 / $1,165.35 / $2,219.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.63 / $1,709.37 / $2,589.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.60 / $1,664.30 / $2,375.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.00 / $997.29 / $1,681.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.87 / $1,947.58 / $2,694.58