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Maine rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.72 / $1,621.64 / $2,060.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.65 / $1,596.06 / $2,264.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.04 / $2,259.23 / $3,296.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.76 / $1,962.07 / $3,482.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.71 / $1,621.64 / $2,060.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.43 / $2,377.17 / $3,127.52