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Nebraska rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.82 / $1,352.71 / $6,602.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.42 / $2,012.30 / $2,769.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,282.56 / $3,008.60 / $4,436.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.60 / $3,218.62 / $8,768.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,572.67 / $3,253.25 / $3,883.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.60 / $3,240.51 / $4,087.13