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Missouri rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.60 / $1,298.38 / $1,609.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.14 / $1,408.09 / $2,288.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.46 / $1,716.25 / $2,655.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.46 / $2,010.80 / $3,256.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.20 / $2,009.20 / $4,425.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.87 / $2,519.75 / $11,641.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.69 / $2,117.31 / $3,448.56