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Washington rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Facilitymedian $2,692 · 10th–90th $1,514$4,7860%10%10th90th$2,692Professionalmedian $2,042 · 10th–90th $1,202$3,7150%5%10%10th90th$2,042$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,951.21 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,698.24 / $3,548.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,912.51 / $17,378.01
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,630.27 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $758.58 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,454.71 / $4,168.69
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,398.83 / $4,073.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,398.83 / $3,890.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $630.96
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,090.30 / $3,467.37
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,041.74 / $2,137.96
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,398.83 / $3,801.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $9,120.11 / $17,378.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,630.27 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $10,471.29 / $19,054.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,290.87 / $3,801.89
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,819.70 / $2,290.87