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New York 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 / $1,659.59 / $3,467.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,698.24 / $4,265.80
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,344.23 / $5,623.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,570.40 / $3,630.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,041.74 / $3,235.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $2,137.96 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,737.80 / $4,265.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,905.46 / $4,265.80