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Massachusetts rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.08 / $1,165.08 / $1,501.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.68 / $1,403.38 / $2,381.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.34 / $4,751.20 / $7,942.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.34 / $2,316.44 / $10,139.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.32 / $1,555.26 / $2,776.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.03 / $2,157.62 / $3,806.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,655.16 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.22 / $1,931.13 / $2,642.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.82 / $2,803.22 / $3,943.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.90 / $3,002.94 / $10,139.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,204.00 / $13,284.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.34 / $2,270.51 / $4,977.43