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Indiana rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.87 / $1,275.02 / $2,141.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.64 / $1,235.38 / $1,579.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.37 / $1,610.26 / $2,173.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.86 / $1,249.11 / $1,693.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.44 / $1,400.52 / $1,901.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.31 / $894.31 / $1,060.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.74 / $1,645.01 / $2,774.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,069.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.70 / $1,606.17 / $2,858.44