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Minnesota rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,548.82 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,235.94 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,168.69 / $6,606.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,890.45 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $3,311.31 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,691.53 / $5,011.87