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Connecticut rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,175.76 / $2,273.67 / $2,955.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.53 / $1,714.86 / $3,756.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.00 / $8,931.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.58 / $2,376.23 / $3,698.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $2,036.65 / $2,036.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.66 / $2,781.16 / $3,764.93
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,330.14 / $4,873.00 / $4,974.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.98 / $2,530.03 / $3,111.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $8,468.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.28 / $2,683.65 / $4,789.00