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Rhode Island rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.68 / $1,812.98 / $2,549.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.71 / $1,508.60 / $3,170.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.40 / $2,558.25 / $2,962.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.51 / $2,135.69 / $3,629.60