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Idaho rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.71 / $1,748.10 / $2,788.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.11 / $801.11 / $803.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.59 / $1,851.05 / $2,462.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.75 / $2,237.57 / $3,197.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.07 / $2,227.73 / $2,722.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,199.17 / $2,450.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,803.94 / $7,766.93 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.77 / $2,310.85 / $2,777.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.95 / $2,165.30 / $3,062.36