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West Virginia rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.33 / $1,475.67 / $2,336.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.33 / $1,550.24 / $2,728.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.10 / $1,289.08 / $1,548.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.93 / $1,376.11 / $1,376.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,067.04 / $2,067.04 / $2,067.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.98 / $2,131.37 / $5,094.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.18 / $1,935.98 / $2,744.38