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Michigan rates for HCPCS 21082

Impression and custom preparation; palatal augmentation prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.28 / $1,424.91 / $1,858.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.45 / $1,103.13 / $2,121.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.42 / $1,620.57 / $2,526.46
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.20 / $1,621.97 / $2,320.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.00 / $991.42 / $1,665.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.16 / $1,901.82 / $2,635.84