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Arizona rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.69 / $1,435.45 / $6,732.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.10 / $1,791.19 / $2,112.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.88 / $1,796.18 / $3,006.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.56 / $1,813.20 / $5,982.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.44 / $1,967.49 / $11,641.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.37 / $1,758.26 / $3,141.99