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Alaska rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,605.99 / $3,605.99 / $4,501.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.57 / $6,115.88 / $7,634.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,118.63 / $4,384.85 / $6,634.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.66 / $6,115.88 / $10,687.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,940.30 / $4,619.07 / $9,282.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,545.00 / $6,654.70 / $9,982.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.66 / $6,489.10 / $10,687.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,774.80 / $6,813.30 / $10,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,290.64 / $7,508.62 / $9,439.41