go back

California rates for HCPCS 21081

Impression & Prepj Mandibular Resection Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.22 / $1,549.29 / $5,755.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.56 / $2,124.30 / $4,084.33
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.83 / $1,888.33 / $4,021.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.73 / $1,977.98 / $3,726.52
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.37 / $1,834.58 / $2,293.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.75 / $1,741.05 / $3,039.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,979.52 / $11,382.08 / $12,952.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.30 / $2,063.98 / $3,832.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,224.53 / $4,224.53 / $5,280.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.46 / $1,727.51 / $3,585.74