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Nebraska rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.95 / $963.95 / $1,263.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.95 / $1,263.75 / $5,819.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,271.26 / $4,302.59 / $8,322.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.92 / $1,810.83 / $2,593.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.97 / $1,000.97 / $1,000.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,015.94 / $2,757.84 / $4,127.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.38 / $2,085.19 / $4,762.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.44 / $2,980.90 / $7,742.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.06 / $2,711.00 / $3,617.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,289.65 / $3,037.82 / $3,607.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,221.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.44 / $3,001.17 / $3,785.26