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Nationwide rates for HCPCS 21085

Impression & Preparation Oral Surgical Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.26 / $2,518.50 / $7,664.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.49 / $659.65 / $1,079.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $3,647.00 / $7,022.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.16 / $691.36 / $1,084.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.02 / $624.00 / $835.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.90 / $886.92 / $1,427.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $1,158.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.85 / $890.45 / $1,543.38