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New Hampshire rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,215.15 / $5,590.82 / $6,553.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.93 / $1,784.45 / $2,176.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.08 / $2,141.54 / $3,082.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,281.71 / $2,281.71 / $2,281.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.56 / $3,009.83 / $4,899.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.92 / $2,763.68 / $5,283.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.79 / $2,827.64 / $4,726.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.94 / $1,373.23 / $1,647.88