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Illinois rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.80 / $2,317.02 / $2,866.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.64 / $1,319.48 / $2,381.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.43 / $10,836.68 / $23,636.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $1,298.45 / $1,449.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.34 / $1,708.32 / $2,767.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.81 / $2,051.42 / $5,521.42
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.43 / $1,314.09 / $1,859.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,102.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,951.00 / $11,479.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.99 / $1,816.13 / $3,153.04