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Michigan rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,696.52 / $1,761.77 / $2,185.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,696.52 / $2,185.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.47 / $339.47 / $1,248.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.47 / $1,388.22 / $2,296.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.49 / $1,936.27 / $2,961.37
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,696.52 / $1,872.32 / $2,104.67
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.64 / $1,872.32 / $2,748.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.84 / $1,139.10 / $1,903.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $8,702.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.33 / $2,238.83 / $3,012.99