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Kentucky rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,479.11 / $2,454.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $2,041.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,344.23 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,862.09 / $2,951.21