go back

Washington, DC rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.08 / $1,203.08 / $1,594.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.08 / $1,426.68 / $1,594.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.20 / $1,448.15 / $6,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.04 / $2,705.67 / $4,211.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,663.24 / $3,544.81 / $3,544.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.29 / $2,368.48 / $4,291.80