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Connecticut rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,349.40 / $2,545.54 / $3,213.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.89 / $1,784.45 / $3,994.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.00 / $8,931.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.24 / $2,622.94 / $4,003.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $2,070.32 / $2,070.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.89 / $3,060.39 / $4,238.43
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,330.14 / $4,873.00 / $4,974.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.39 / $2,674.79 / $3,319.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $8,468.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.60 / $3,079.20 / $4,914.00