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Louisiana rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,698.24 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,412.54 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,754.40 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,659.59 / $2,187.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,778.28 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,786.30 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $2,398.83