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Wisconsin rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Facilitymedian $4,677 · 10th–90th $1,950$10,9650%10%10th90th$4,677Professionalmedian $1,698 · 10th–90th $1,000$5,1290%10%10th90th$1,698$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $2,187.76 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,318.26 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,897.79 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,137.96 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,168.69 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,235.94 / $6,456.54
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $2,089.30 / $3,548.13
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,818.38 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,137.96 / $12,882.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,019.95 / $10,232.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,584.89
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $9,332.54 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,548.13 / $4,897.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,019.95 / $4,897.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,691.53 / $6,456.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $6,918.31 / $10,232.93
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $4,466.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,606.93 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $12,022.64 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,089.30 / $5,248.07