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Missouri rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.14 / $1,400.54 / $1,737.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.97 / $1,521.93 / $2,455.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.40 / $1,885.10 / $3,012.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.44 / $2,214.34 / $3,517.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.02 / $2,207.48 / $4,707.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.71 / $2,715.67 / $12,434.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.84 / $2,170.98 / $3,717.47