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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
$1,000.00 / $1,288.25 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $3,388.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,698.24 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,995.26 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,995.26 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,511.89 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $2,818.38