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Wyoming rates for HCPCS 21080

Impression and custom preparation; definitive obturator prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.86 / $1,693.99 / $2,165.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,752.00 / $2,752.00 / $2,752.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.00 / $3,171.00 / $4,798.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.40 / $2,874.59 / $4,633.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,186.13 / $3,507.48 / $6,155.49