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Utah rates for HCPCS 21081

Impression & Prepj Mandibular Resection Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.68 / $1,749.31 / $6,808.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.31 / $2,048.67 / $2,913.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $923.18 / $1,459.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.60 / $2,352.29 / $4,272.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.31 / $1,707.09 / $2,701.61