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Ohio rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.52 / $1,470.52 / $2,489.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.86 / $1,535.25 / $2,500.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.99 / $1,600.01 / $2,036.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.98 / $1,989.68 / $2,875.39
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.98 / $1,990.54 / $2,977.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $1,089.43 / $1,834.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.52 / $1,936.72 / $2,881.07