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North Dakota rates for HCPCS 21079

Impression and custom preparation; interim obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.76 / $1,414.26 / $1,537.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,699.11 / $3,024.40 / $3,791.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.15 / $2,989.39 / $3,907.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.49 / $3,042.43 / $8,768.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.15 / $2,873.41 / $3,460.93