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Nebraska rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.19 / $1,240.19 / $1,554.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.19 / $1,554.84 / $7,445.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,271.26 / $4,302.59 / $8,322.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.15 / $2,291.94 / $3,159.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.42 / $1,133.42 / $1,133.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,575.41 / $3,699.38 / $5,132.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.93 / $2,565.48 / $5,384.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.17 / $3,677.57 / $9,893.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.76 / $3,414.00 / $4,521.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,891.30 / $3,699.38 / $4,488.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.17 / $3,252.27 / $4,669.92