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Maine rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.91 / $1,784.45 / $2,217.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.73 / $1,731.51 / $2,500.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.67 / $2,500.51 / $3,640.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.92 / $2,095.21 / $3,718.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.91 / $1,794.14 / $2,217.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.10 / $2,632.46 / $3,334.46