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Maryland rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,629.15 / $4,366.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.62 / $1,520.83 / $1,744.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $641.21 / $713.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.97 / $2,185.83 / $4,141.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.41 / $2,249.00 / $2,993.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.97 / $2,045.05 / $3,562.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.26 / $2,004.92 / $2,495.82