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Connecticut rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.00 / $5,194.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.58 / $1,351.73 / $3,287.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $13,227.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.25 / $2,292.02 / $3,166.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $7,993.34 / $7,993.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.76 / $2,236.87 / $3,255.13
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,458.67 / $2,935.00 / $2,995.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.69 / $1,872.30 / $2,344.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.00 / $8,468.00 / $13,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.04 / $2,006.89 / $3,515.08