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Indiana rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.30 / $1,455.92 / $2,443.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.00 / $1,410.34 / $1,812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.20 / $1,892.46 / $2,554.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.84 / $1,444.11 / $1,932.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.07 / $1,662.98 / $2,169.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.18 / $996.18 / $1,180.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.61 / $1,889.65 / $3,235.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.77 / $1,826.55 / $3,263.29