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Maine rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.92 / $1,401.42 / $1,800.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.21 / $1,379.08 / $1,957.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.63 / $1,952.52 / $2,849.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.78 / $1,720.52 / $3,053.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.45 / $1,401.42 / $1,800.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.78 / $2,062.96 / $2,815.05