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Oklahoma rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,584.89 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,187.76 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,238.72 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,137.96 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $5,370.32 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,659.59 / $2,344.23