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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
$1,202.26 / $1,819.70 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,995.26 / $2,454.71
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,630.27 / $3,019.95
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,630.27 / $3,019.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,137.96 / $3,235.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,089.30 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $3,019.95