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Kentucky rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.27 / $1,281.71 / $1,812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.30 / $1,351.18 / $1,812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.54 / $1,413.18 / $1,986.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.06 / $1,572.75 / $1,814.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.39 / $1,583.98 / $2,527.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,596.86 / $2,067.04 / $2,067.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.29 / $2,048.54 / $3,267.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $819.13 / $1,586.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.32 / $2,187.60 / $3,270.60