go back

New Mexico rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.40 / $1,222.40 / $1,578.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.40 / $1,549.59 / $3,263.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.93 / $2,129.19 / $2,966.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $264.63 / $2,205.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.05 / $1,901.18 / $2,476.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.41 / $2,241.88 / $3,237.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.88 / $2,437.90 / $3,747.87