go back

Tennessee rates for HCPCS 21079

Impression and custom preparation; interim obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.96 / $1,442.40 / $2,284.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.05 / $1,958.95 / $3,029.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.00 / $1,983.22 / $3,202.07
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,716.32 / $10,873.20 / $12,352.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.18 / $1,887.78 / $3,295.56