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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
$1,149.91 / $1,431.51 / $1,853.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.36 / $1,411.03 / $2,033.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.85 / $1,593.67 / $2,272.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.96 / $2,044.64 / $3,179.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $832.00 / $1,564.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.13 / $2,021.28 / $3,188.59