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Nationwide rates for HCPCS 21085

Impression and custom preparation; oral surgical splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $3,467.37 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,897.79 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $912.01 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $912.01 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,071.52 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $1,380.38