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Tennessee rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.64 / $2,670.31 / $3,659.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.64 / $1,634.63 / $2,636.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,611.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.39 / $2,213.46 / $3,372.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.53 / $2,254.01 / $3,603.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,584.59 / $6,584.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,800.64 / $12,360.72 / $14,050.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.88 / $2,158.44 / $3,769.52