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Utah rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.30 / $1,962.02 / $6,602.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.94 / $1,969.55 / $2,850.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $882.38 / $1,375.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.25 / $2,214.85 / $4,116.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.70 / $1,656.42 / $2,571.82