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Montana rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.75 / $1,933.63 / $7,528.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.41 / $1,618.41 / $1,618.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.83 / $1,696.04 / $2,615.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.05 / $1,348.83 / $2,135.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.92 / $1,909.52 / $2,769.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.52 / $2,344.36 / $2,637.85