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Virginia rates for HCPCS 21081

Impression & Prepj Mandibular Resection Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.77 / $1,578.72 / $1,950.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.47 / $1,418.73 / $2,345.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.93 / $1,499.61 / $7,889.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.65 / $1,985.83 / $3,192.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.34 / $1,903.80 / $2,215.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,109.41 / $2,454.00 / $2,965.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.63 / $2,160.09 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.58 / $1,995.57 / $3,034.57