go back

South Carolina rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.25 / $1,414.24 / $2,249.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.26 / $1,460.04 / $2,811.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.87 / $2,108.82 / $3,164.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.26 / $995.26 / $995.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $1,047.12 / $1,939.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.52 / $1,761.93 / $3,237.21