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North Carolina rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.58 / $1,500.06 / $2,606.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $2,549.85 / $4,445.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.09 / $2,240.12 / $3,888.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.00 / $2,193.00 / $2,193.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.60 / $2,022.60 / $4,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.69 / $2,099.41 / $3,730.71
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,979.52 / $11,382.08 / $12,952.05