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Utah rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,195.88 / $2,195.88 / $2,601.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.40 / $2,195.88 / $7,445.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.47 / $2,244.46 / $3,202.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.78 / $969.32 / $1,558.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.09 / $2,562.64 / $4,627.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.20 / $1,893.92 / $2,986.84