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Indiana rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,479.11 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $2,137.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,709.64 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,621.81 / $2,511.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,071.52 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,659.59 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $9,549.93 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,445.44 / $2,511.89