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Nebraska rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.58 / $1,433.83 / $6,808.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.89 / $2,102.71 / $2,921.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,362.80 / $3,408.28 / $4,711.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.65 / $3,378.15 / $9,077.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,665.05 / $3,408.28 / $4,132.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.28 / $2,987.48 / $3,758.09