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Georgia rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.36 / $2,038.78 / $3,147.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.36 / $1,587.44 / $3,340.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,634.62 / $5,292.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.04 / $1,917.85 / $3,334.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.59 / $2,691.59 / $2,691.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.65 / $2,067.04 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.51 / $2,303.87 / $3,894.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.61 / $2,052.61 / $3,903.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.31 / $2,262.44 / $3,613.32