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New Hampshire rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.98 / $4,370.52 / $5,300.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.08 / $1,403.38 / $1,759.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.62 / $1,680.11 / $2,481.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.12 / $1,787.12 / $1,787.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.48 / $2,369.57 / $4,016.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.67 / $2,219.48 / $4,144.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.90 / $2,229.37 / $4,233.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.18 / $1,116.81 / $1,340.17