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New Jersey rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.09 / $1,443.19 / $2,233.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.85 / $2,179.61 / $4,542.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.85 / $2,284.01 / $2,756.22
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.84 / $1,534.71 / $3,424.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.89 / $2,033.10 / $4,595.64