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Montana rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.20 / $2,207.88 / $8,611.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.37 / $1,872.37 / $1,872.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.05 / $1,980.78 / $3,000.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.68 / $1,538.17 / $2,428.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.30 / $2,196.08 / $3,160.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.41 / $2,729.94 / $3,024.13