go back

Oklahoma rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.35 / $1,093.35 / $1,408.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.35 / $1,121.45 / $1,408.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.78 / $1,075.78 / $1,075.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.20 / $1,646.16 / $2,348.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.35 / $1,729.93 / $6,026.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.93 / $1,689.11 / $10,200.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.00 / $6,334.00 / $10,376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.04 / $1,542.23 / $2,160.39