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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
$1,122.02 / $1,479.11 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,019.95 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,754.23 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,884.03 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,511.89 / $3,388.44