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North Carolina rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.92 / $1,634.63 / $2,981.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.92 / $1,634.63 / $3,047.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.28 / $1,247.28 / $1,265.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.05 / $3,217.59 / $4,874.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $1,296.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.68 / $2,440.50 / $4,253.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.14 / $2,162.00 / $3,350.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,180.00 / $2,378.00 / $2,378.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.30 / $2,194.30 / $4,974.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.09 / $2,248.39 / $4,239.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,584.59 / $6,584.59
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,800.64 / $12,360.72 / $14,050.73