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Delaware rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.30 / $1,421.95 / $1,749.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.78 / $1,639.92 / $2,888.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.02 / $2,013.40 / $3,623.07