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New Jersey rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.68 / $1,728.78 / $2,289.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.50 / $1,504.10 / $2,304.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.21 / $2,240.19 / $4,811.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.62 / $2,435.41 / $2,784.85
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,572.89 / $7,593.73 / $16,013.10
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.93 / $1,574.96 / $3,504.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.50 / $2,062.46 / $4,817.87