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Rhode Island rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,344.23 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,244.36 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,949.84 / $3,388.44