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Minnesota rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.31 / $1,688.03 / $1,688.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.31 / $1,693.99 / $2,663.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,184.29 / $8,295.76 / $13,062.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,444.48 / $4,024.61 / $5,826.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,085.40 / $5,796.59 / $13,944.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,667.22 / $4,408.04 / $7,153.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,714.00 / $5,299.48 / $10,979.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.42 / $4,007.30 / $6,522.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.76 / $2,693.39 / $4,550.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.58 / $3,577.93 / $9,893.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.67 / $3,446.23 / $6,600.59