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West Virginia rates for HCPCS 21082

Impression and custom preparation; palatal augmentation prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.34 / $1,442.70 / $2,493.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.82 / $1,288.84 / $1,288.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.20 / $2,029.29 / $4,679.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.43 / $1,818.30 / $2,483.42