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Wyoming rates for HCPCS 21081

Impression and custom preparation; mandibular resection prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,548.82 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,467.37 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,570.40 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,691.53 / $5,623.41