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Wisconsin rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Facilitymedian $4,677 · 10th–90th $2,188$10,9650%5%10%10th90th$4,677Professionalmedian $1,950 · 10th–90th $1,175$5,8880%10%10th90th$1,950$50.0$200.0$1.0K$5.0K

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
$1,174.90 / $2,511.89 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,513.56 / $3,388.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,897.79 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,454.71 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,981.07 / $7,244.36
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,344.23 / $3,801.89
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,162.28 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,511.89 / $12,882.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,467.37 / $11,748.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,862.09
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $9,332.54 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $4,073.80 / $5,754.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,467.37 / $5,623.41
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,162.28 / $7,413.10
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $7,943.28 / $11,481.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $5,011.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $7,585.78 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $12,022.64 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,344.23 / $6,025.60