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Oregon rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Facilitymedian $3,311 · 10th–90th $1,905–$4,2660%20%40%10th90th$3,311Professionalmedian $2,570 · 10th–90th $1,349–$4,2660%10%10th90th$2,570$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,388.44 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,737.80 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,951.21 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,235.94 / $4,168.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,630.27 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,019.95 / $4,265.80
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,311.31 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,630.27 / $3,890.45
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $3,019.95 / $4,365.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,232.93 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,311.31 / $4,677.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $15,135.61 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,019.95 / $4,265.80