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Montana rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.15 / $2,399.53 / $9,259.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.44 / $2,067.44 / $2,611.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,067.44 / $2,067.44 / $2,067.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.93 / $2,219.90 / $3,168.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.30 / $1,642.46 / $2,657.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.67 / $2,388.65 / $3,406.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,414.85 / $2,940.57 / $3,189.76