go back

Michigan rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.70 / $1,590.28 / $2,013.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.81 / $1,922.11 / $3,157.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.08 / $1,767.12 / $2,718.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.17 / $1,722.93 / $2,514.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.00 / $1,076.95 / $1,781.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.29 / $1,983.05 / $2,820.34