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Kentucky rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.15 / $1,384.91 / $2,054.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.98 / $1,443.80 / $2,054.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.26 / $1,543.84 / $2,257.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.06 / $1,736.08 / $2,002.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.74 / $1,748.48 / $2,790.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,813.29 / $2,281.71 / $2,281.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.53 / $2,240.05 / $3,456.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $912.96 / $1,698.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.03 / $2,388.48 / $3,480.73