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Washington, DC rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.68 / $1,040.68 / $1,399.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.68 / $1,257.98 / $1,399.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.24 / $1,241.50 / $6,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.69 / $2,339.69 / $3,694.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,303.54 / $3,110.88 / $3,110.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $10,819.00 / $28,056.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.03 / $2,374.50 / $3,766.44