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Texas rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.15 / $1,502.16 / $2,431.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.05 / $1,463.45 / $2,409.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.66 / $1,989.61 / $3,042.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,979.52 / $11,382.08 / $12,952.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.78 / $2,044.97 / $2,726.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,139.30 / $2,139.30 / $2,139.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.89 / $2,099.19 / $3,167.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.03 / $1,789.54 / $2,775.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.83 / $1,471.33 / $2,050.61