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Louisiana rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.52 / $1,705.22 / $2,394.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.25 / $1,705.22 / $2,263.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.29 / $5,652.17 / $10,442.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.33 / $1,700.76 / $2,420.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $902.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.22 / $1,737.88 / $2,514.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.00 / $5,010.00 / $12,452.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.93 / $1,629.32 / $2,856.82