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Virginia rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.24 / $1,519.26 / $1,845.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.47 / $1,369.61 / $2,264.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.82 / $1,449.13 / $3,019.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.68 / $1,927.25 / $3,096.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.89 / $1,817.46 / $2,111.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.40 / $2,363.00 / $2,822.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.90 / $2,084.55 / $6,474.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.05 / $1,970.73 / $3,049.39