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Ohio rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.28 / $1,978.43 / $5,578.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.28 / $1,486.73 / $2,692.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,792.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.06 / $1,499.74 / $2,449.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.21 / $1,167.50 / $1,700.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.67 / $1,623.40 / $2,066.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.08 / $1,993.74 / $2,927.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,067.04 / $2,067.04 / $2,067.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.08 / $2,003.06 / $2,927.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $1,094.22 / $1,843.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.80 / $1,993.19 / $3,199.39