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Alaska rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,698.24 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $4,365.16 / $6,606.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,884.03 / $8,511.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,786.30 / $7,943.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $6,309.57 / $9,332.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,511.89 / $8,317.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $2,344.23 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $6,456.54 / $8,709.64