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New Mexico rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.23 / $1,056.23 / $1,382.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.23 / $1,337.96 / $2,857.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.55 / $1,836.09 / $2,514.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $231.62 / $1,930.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.61 / $1,659.00 / $2,162.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.75 / $1,962.23 / $2,797.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.67 / $2,102.66 / $3,274.01