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North Carolina rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.14 / $1,312.70 / $2,470.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.14 / $1,312.70 / $2,473.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.76 / $2,169.67 / $3,787.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $1,145.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.25 / $1,953.10 / $3,400.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.35 / $1,662.00 / $2,622.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.65 / $1,973.00 / $1,973.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.10 / $1,808.10 / $4,042.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,020.00 / $10,968.00 / $17,964.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.93 / $1,750.49 / $3,532.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,178.93 / $5,178.93
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,686.88 / $10,139.52 / $11,553.60