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Maryland rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.10 / $1,475.67 / $1,877.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.20 / $1,356.91 / $1,613.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $641.21 / $701.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.38 / $2,007.04 / $3,695.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.60 / $2,107.34 / $2,776.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.99 / $1,876.28 / $3,409.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.67 / $1,878.64 / $2,337.66