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South Carolina rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.84 / $1,768.49 / $4,768.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.58 / $1,499.76 / $2,399.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.52 / $10,744.95 / $17,033.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.41 / $1,545.84 / $2,938.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,215.34 / $2,067.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.15 / $2,158.69 / $3,215.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.43 / $2,122.19 / $3,217.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.58 / $1,130.58 / $1,130.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $1,149.33 / $2,086.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.90 / $1,897.51 / $3,458.60