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Ohio rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.45 / $2,383.51 / $9,012.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.45 / $1,590.31 / $2,863.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,792.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.17 / $1,676.20 / $2,764.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.19 / $1,288.57 / $1,876.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.45 / $1,737.45 / $2,211.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.21 / $2,166.48 / $3,169.45
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,281.71 / $2,281.71 / $2,281.71
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.21 / $2,172.05 / $3,244.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.10 / $1,156.21 / $1,950.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.53 / $2,196.96 / $3,452.49