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Wisconsin rates for HCPCS 21081

Impression & Prepj Mandibular Resection Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.82 / $1,521.58 / $6,045.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.40 / $2,766.52 / $7,929.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.87 / $4,539.77 / $7,044.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,849.24 / $3,593.18 / $11,498.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.76 / $932.99 / $3,015.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,695.11 / $3,693.95 / $5,318.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.61 / $6,525.63 / $11,498.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,815.85 / $7,728.56 / $9,865.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.54 / $3,205.00 / $7,123.12