go back

Pennsylvania rates for HCPCS 21082

Impression & Prepj Palatal Augmentation Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.33 / $1,358.69 / $1,875.06
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.08 / $1,507.91 / $1,507.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.07 / $1,694.24 / $2,805.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.90 / $2,256.37 / $2,939.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.76 / $1,410.31 / $2,969.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.40 / $1,770.40 / $3,439.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.07 / $1,714.06 / $2,944.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.92 / $1,347.03 / $1,456.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.84 / $1,840.51 / $2,968.20