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Nebraska rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.38 / $1,442.71 / $3,928.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.38 / $1,442.71 / $6,732.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,271.26 / $4,302.59 / $8,322.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.40 / $2,075.38 / $2,958.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.98 / $1,114.98 / $1,114.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.09 / $3,064.43 / $4,712.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.44 / $2,380.46 / $4,822.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.62 / $3,413.71 / $8,957.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.48 / $3,141.04 / $4,129.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,646.27 / $3,450.37 / $4,122.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.62 / $3,436.94 / $4,334.88