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Illinois rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.72 / $2,918.34 / $3,486.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.61 / $1,627.68 / $2,918.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.43 / $31,527.06 / $68,764.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,798.64 / $5,455.61 / $5,742.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $1,470.27 / $1,641.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.31 / $2,161.36 / $3,485.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.12 / $2,571.81 / $6,866.22
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.59 / $1,678.09 / $2,270.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,567.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.91 / $2,284.00 / $4,052.96