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Utah rates for HCPCS 21083

Impression & Preparation Palatal Lift Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.95 / $1,674.95 / $2,070.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.56 / $1,674.95 / $5,819.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.15 / $1,737.96 / $2,526.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $803.69 / $1,297.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.88 / $2,051.48 / $3,744.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $4,912.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.02 / $1,616.79 / $2,408.50