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West Virginia rates for HCPCS 21083

Impression and custom preparation; palatal lift prosthesis

Facilitymedian $1,288 · 10th–90th $1,000–$1,7780%20%40%10th90th$1,288Professionalmedian $1,288 · 10th–90th $955–$2,2910%20%10th90th$1,288$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
$1,000.00 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,258.93 / $1,819.70
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,348.96
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,819.70 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,513.56 / $2,290.87