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Connecticut rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.50 / $4,228.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.21 / $173.95 / $344.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,432.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.19 / $189.64 / $236.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $235.50 / $430.82
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.63 / $196.04 / $204.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.31 / $209.96 / $355.34