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Missouri rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.60 / $1,409.74 / $2,401.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.24 / $1,712.11 / $2,735.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.27 / $2,022.01 / $3,229.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.54 / $2,494.67 / $11,498.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.04 / $1,944.29 / $3,131.11