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North Dakota rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,288.25 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,513.56 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,090.30 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,884.03 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,041.74 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,090.30 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,943.28 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,570.40 / $3,630.78