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Oklahoma rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.57 / $1,244.55 / $1,520.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.17 / $1,825.11 / $2,701.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.18 / $1,865.30 / $10,902.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.19 / $1,651.81 / $2,311.35