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Michigan rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Facilitymedian $2,630 · 10th–90th $1,318–$9,3330%10%20%10th90th$2,630Professionalmedian $1,380 · 10th–90th $1,000–$2,2910%10%20%10th90th$1,380$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,380.38 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,318.26 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,513.56 / $2,344.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $3,715.35 / $4,365.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,659.59 / $3,019.95
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,479.11 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,548.82 / $2,089.30