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Oklahoma rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.10 / $1,266.10 / $1,609.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.10 / $1,281.71 / $1,609.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.31 / $1,198.31 / $1,198.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.27 / $1,879.44 / $2,739.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.10 / $1,999.85 / $6,026.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.39 / $1,920.96 / $11,641.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.90 / $1,753.36 / $2,406.79