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Alaska rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,012.36 / $4,012.36 / $4,872.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.55 / $6,805.12 / $8,264.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,486.73 / $4,857.47 / $7,148.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.44 / $6,805.12 / $11,570.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,242.73 / $4,932.51 / $9,911.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,012.50 / $7,338.30 / $10,539.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.44 / $7,024.94 / $11,570.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,036.60 / $7,476.00 / $10,994.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,641.30 / $8,122.28 / $10,210.86