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New Jersey rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.48 / $1,891.47 / $2,400.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,616.58 / $2,489.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.19 / $2,455.92 / $5,082.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.78 / $2,598.33 / $3,127.71
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,134.65 / $7,884.56 / $13,993.66
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.79 / $1,728.25 / $3,947.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.89 / $2,089.96 / $5,179.24