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New York rates for HCPCS 21079

Impression and custom preparation; interim obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.30 / $1,532.96 / $2,624.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.39 / $1,621.08 / $3,672.46
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.07 / $1,685.07 / $2,066.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.21 / $2,252.10 / $5,083.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.85 / $2,330.08 / $3,255.64
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.14 / $1,747.12 / $3,081.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.10 / $2,300.98 / $5,195.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.35 / $1,901.56 / $4,660.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.14 / $1,942.58 / $3,081.96