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Wyoming rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.16 / $1,486.49 / $1,869.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,225.00 / $2,780.00 / $4,206.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.84 / $2,497.90 / $4,059.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.86 / $3,067.64 / $5,439.19