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Delaware rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.72 / $1,321.28 / $1,667.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.01 / $829.01 / $829.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.71 / $1,805.19 / $3,183.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.46 / $2,242.09 / $3,943.30