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Montana rates for HCPCS 21082

Impression & Prepj Palatal Augmentation Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.00 / $2,023.82 / $7,888.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.11 / $1,840.01 / $2,744.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.30 / $2,012.05 / $2,899.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.91 / $2,502.19 / $2,764.29