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Minnesota rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Facilitymedian $5,888 · 10th–90th $1,698–$12,5890%10%10th90th$5,888Professionalmedian $3,236 · 10th–90th $1,585–$6,1660%5%10%10th90th$3,236$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,698.24 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,698.24 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,912.51 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,630.78 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,165.95 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,466.84 / $7,079.46
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,754.40 / $11,748.98
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,168.69 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,691.53 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,548.13 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $7,079.46 / $11,748.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,495.41