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Hawaii rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,698.24 / $2,187.76
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,137.96 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,778.28 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,737.80 / $2,511.89
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $1,412.54 / $2,089.30