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South Carolina rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.34 / $1,908.85 / $5,038.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.92 / $1,634.63 / $2,527.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.52 / $10,744.95 / $17,033.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.29 / $1,659.43 / $3,205.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,235.44 / $2,281.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.03 / $2,362.61 / $3,583.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.56 / $2,290.62 / $3,419.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.51 / $1,195.51 / $1,195.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.42 / $1,214.56 / $2,211.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.36 / $2,014.56 / $3,692.46