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Texas rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,288.25 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,318.26 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,513.56 / $2,344.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,041.74 / $3,235.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $7,413.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,481.54 / $13,182.57 / $13,182.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,905.46 / $3,090.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $2,754.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $954.99 / $1,348.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $3,090.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,995.26 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,995.26 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,606.93 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,621.81 / $2,511.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,659.59 / $1,659.59