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South Carolina rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.46 / $1,548.24 / $4,155.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.14 / $1,312.70 / $2,093.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.52 / $10,744.95 / $17,033.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.60 / $1,345.26 / $2,532.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,091.07 / $1,787.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.11 / $1,870.81 / $2,771.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.86 / $1,845.21 / $2,806.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.46 / $1,015.46 / $1,015.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $972.62 / $1,774.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,637.00 / $16,959.00 / $25,758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.99 / $1,626.17 / $3,030.70