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New Hampshire rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.35 / $5,040.56 / $6,068.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.52 / $1,667.63 / $2,055.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.11 / $1,941.80 / $2,846.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,067.04 / $2,067.04 / $2,067.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.36 / $2,692.75 / $4,614.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.74 / $2,565.17 / $4,790.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.80 / $2,552.90 / $4,844.12
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.13 / $1,277.27 / $1,532.72