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Wyoming rates for HCPCS 21084

Impression and custom preparation; speech aid prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.99 / $1,552.90 / $1,994.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,752.00 / $2,752.00 / $2,752.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.00 / $2,972.00 / $4,496.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,002.30 / $2,639.94 / $4,348.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,003.37 / $3,256.25 / $5,772.00