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Missouri rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,148.15 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,348.96 / $3,019.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,698.24 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,737.80 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,187.76 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,548.82 / $2,398.83