go back

Wisconsin rates for HCPCS 21082

Impression & Prepj Palatal Augmentation Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.42 / $1,405.11 / $5,748.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.80 / $2,530.19 / $7,221.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.76 / $4,380.81 / $6,583.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.57 / $3,329.37 / $10,738.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.76 / $860.79 / $2,817.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,453.76 / $3,477.03 / $5,005.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.81 / $6,098.94 / $10,738.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,535.30 / $7,133.37 / $9,220.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.97 / $2,901.16 / $6,621.90