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Arizona rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.68 / $1,439.52 / $2,489.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.21 / $1,810.52 / $2,077.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.01 / $1,792.40 / $3,014.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.02 / $1,944.00 / $11,498.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.00 / $1,662.54 / $3,024.15