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Colorado rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.99 / $1,201.99 / $1,588.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.10 / $1,504.10 / $1,920.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.29 / $1,678.05 / $2,671.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.66 / $1,064.66 / $3,353.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.54 / $2,042.53 / $3,196.30
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.36 / $2,000.38 / $2,668.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.61 / $1,999.35 / $2,988.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.36 / $2,331.83 / $3,690.39