go back

North Carolina rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.25 / $1,414.24 / $2,650.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.52 / $2,803.88 / $4,328.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.90 / $2,150.02 / $3,702.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.00 / $2,117.00 / $2,117.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,928.40 / $4,421.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.50 / $1,840.29 / $3,710.31
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,716.32 / $10,873.20 / $12,352.05