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Oklahoma rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,737.80 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,778.28 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,698.24 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $5,370.32 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $1,819.70