go back

Ohio rates for HCPCS 21079

Impression and custom preparation; interim obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.69 / $1,395.21 / $2,543.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.90 / $1,479.90 / $2,466.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.43 / $1,528.87 / $1,945.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.54 / $1,896.38 / $2,793.42
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.01 / $1,903.96 / $2,808.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $1,010.25 / $1,722.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.52 / $1,943.73 / $3,049.67