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New York 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 / $2,155.60 / $11,609.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.76 / $1,748.88 / $2,946.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $11,909.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.93 / $1,825.40 / $4,134.85
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,918.82 / $1,918.82 / $13,009.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,918.82 / $1,918.82 / $2,387.19
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
$1,445.75 / $2,568.67 / $5,800.51
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,631.98 / $3,380.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.78 / $2,651.34 / $3,703.67
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.74 / $1,584.74 / $1,584.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.79 / $1,712.09 / $3,515.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $2,281.71
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.53 / $2,630.20 / $5,887.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.54 / $2,228.16 / $5,334.24
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,583.97 / $1,583.97 / $8,461.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.01 / $2,208.50 / $3,515.11