go back

Tennessee rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,238.72 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,073.80 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,949.84 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $2,884.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $6,456.54 / $6,456.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,232.93 / $11,481.54 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,754.40 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $2,630.27