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Missouri rates for HCPCS 21079

Impression and custom preparation; interim obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.69 / $1,324.15 / $2,212.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.83 / $1,672.19 / $2,671.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.38 / $1,937.97 / $3,080.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.15 / $2,375.83 / $10,902.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.30 / $1,922.80 / $3,111.50