go back

Wisconsin rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.24 / $1,434.47 / $5,865.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.22 / $2,661.32 / $7,621.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.31 / $4,266.26 / $6,674.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.12 / $3,421.59 / $10,902.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.76 / $864.62 / $2,850.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,588.76 / $3,540.24 / $5,100.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,489.44 / $6,182.73 / $10,902.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,569.09 / $7,463.75 / $9,347.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.46 / $3,272.67 / $7,153.11