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Texas rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.13 / $1,429.25 / $2,318.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.85 / $1,385.67 / $2,286.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.53 / $1,912.84 / $2,966.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,716.32 / $10,873.20 / $12,352.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.52 / $1,951.95 / $2,602.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.90 / $2,080.90 / $2,080.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.85 / $2,009.20 / $3,038.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.19 / $1,683.27 / $2,674.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.02 / $1,405.29 / $1,957.37