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Arkansas rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,878.36 / $2,253.88 / $2,666.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.72 / $1,878.36 / $2,568.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.49 / $2,893.49 / $3,472.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.94 / $1,879.34 / $2,352.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,337.37 / $4,337.37 / $4,337.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,774.39 / $2,576.73 / $3,197.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,667.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.84 / $2,338.32 / $3,484.35