go back

Illinois rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.77 / $2,682.25 / $3,291.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.00 / $1,506.80 / $2,728.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,462.43 / $12,540.94 / $27,353.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $1,446.35 / $1,614.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.43 / $1,953.64 / $3,205.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.68 / $2,346.50 / $6,465.94
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.52 / $1,519.79 / $2,122.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,399.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.91 / $2,071.67 / $3,610.51