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Alaska rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,112.53 / $3,112.53 / $3,932.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.59 / $5,278.96 / $6,669.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,690.92 / $3,784.04 / $5,814.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.41 / $5,278.96 / $9,337.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,544.05 / $4,050.42 / $8,139.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,932.50 / $5,800.60 / $8,700.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.41 / $5,669.15 / $9,337.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,401.00 / $5,921.16 / $9,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,738.98 / $6,543.22 / $8,225.76