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Wisconsin rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Facilitymedian $4,786 · 10th–90th $2,344$10,9650%10%10th90th$4,786Professionalmedian $2,138 · 10th–90th $1,318$6,4570%10%10th90th$2,138$50.0$200.0$1.0K$5.0K

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
$1,318.26 / $2,754.23 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,659.59 / $3,630.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,897.79 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,691.53 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,128.61 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $4,265.80 / $7,762.47
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,454.71 / $3,890.45
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,467.37 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,754.23 / $12,882.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,715.35 / $12,302.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,041.74
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $9,332.54 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,365.16 / $6,309.57
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,801.89 / $6,025.60
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $8,317.64 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $8,511.38 / $12,302.69
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $5,495.41
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $8,511.38 / $10,715.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $12,022.64 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,570.40 / $6,456.54