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West Virginia rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.54 / $1,556.45 / $2,641.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.58 / $1,393.13 / $1,393.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.92 / $2,162.58 / $4,957.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.61 / $1,979.29 / $2,813.07