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Louisiana rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.40 / $1,953.59 / $2,773.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.36 / $1,953.59 / $2,594.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.29 / $5,652.17 / $10,442.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.06 / $1,943.38 / $2,835.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $1,041.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.14 / $2,002.56 / $2,876.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $11,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.39 / $1,894.19 / $3,274.98