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Tennessee rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.59 / $2,387.46 / $3,288.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.69 / $1,504.10 / $2,420.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.00 / $4,036.00 / $6,243.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.17 / $2,044.90 / $3,150.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.48 / $2,088.69 / $3,342.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,979.63 / $5,979.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,886.79 / $11,568.56 / $13,168.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.79 / $2,003.84 / $3,590.01