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Louisiana rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.93 / $2,108.41 / $3,073.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.98 / $2,108.41 / $2,803.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.29 / $5,652.17 / $10,442.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.48 / $2,107.48 / $2,981.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,146.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.14 / $2,186.85 / $3,139.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.90 / $2,045.87 / $3,482.75