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Maine rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $3,090.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,905.46 / $2,951.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,778.28 / $3,235.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,819.70 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,737.80 / $2,818.38