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West Virginia rates for HCPCS 21080

Impression & Prepj Definitive Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.77 / $1,611.07 / $2,505.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.77 / $1,696.65 / $2,863.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,307.93 / $1,422.97 / $1,710.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.06 / $1,520.02 / $1,520.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,281.71 / $2,281.71 / $2,281.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.43 / $2,392.14 / $5,362.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.09 / $2,184.48 / $3,141.95