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Maryland rates for HCPCS 21081

Impression & Prepj Mandibular Resection Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.93 / $1,478.13 / $1,812.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.93 / $1,388.53 / $1,591.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.66 / $1,995.48 / $3,781.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.73 / $2,072.67 / $2,726.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.58 / $1,709.38 / $2,992.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.59 / $1,847.74 / $2,299.46