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North Dakota rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,096.48 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,348.96 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,691.53 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,344.23 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,778.28 / $3,311.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,691.53 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,943.28 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,238.72 / $3,162.28