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Wisconsin rates for HCPCS 21082

Impression and custom preparation; palatal augmentation prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $3,715.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,290.87 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $4,265.80 / $6,760.83
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,951.21 / $4,365.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,162.28 / $10,715.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,737.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,235.94 / $5,128.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $7,244.36 / $10,715.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $7,079.46 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,187.76 / $5,754.40