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Indiana rates for HCPCS 21081

Impression & Prepj Mandibular Resection Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.91 / $1,412.33 / $1,853.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.38 / $1,966.96 / $2,655.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.76 / $1,707.31 / $2,134.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.89 / $1,895.99 / $3,272.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.06 / $1,817.79 / $3,188.59