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Utah rates for HCPCS 21084

Impression & Preparation Speech Aid Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.12 / $2,017.12 / $2,448.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.84 / $2,017.12 / $6,732.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.22 / $2,042.53 / $2,884.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $946.05 / $1,462.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.27 / $2,352.82 / $4,392.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.39 / $1,893.78 / $3,112.21