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Minnesota rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.01 / $1,569.31 / $1,569.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.01 / $1,569.31 / $2,469.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,184.29 / $7,625.82 / $13,020.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,248.50 / $3,707.00 / $5,459.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,836.22 / $5,443.04 / $13,093.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,503.60 / $4,011.67 / $6,714.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,487.47 / $4,976.24 / $10,310.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,299.51 / $3,652.44 / $6,122.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.22 / $2,469.71 / $4,273.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.86 / $3,397.71 / $8,957.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.86 / $3,190.52 / $6,259.26