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Connecticut rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.20 / $1,352.89 / $1,661.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.15 / $942.19 / $2,116.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.00 / $8,931.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.48 / $1,405.89 / $1,997.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $1,061.75 / $1,061.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.93 / $1,605.14 / $2,202.34
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $4,588.00 / $4,682.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.93 / $1,398.72 / $1,747.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.00 / $5,307.00 / $8,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.81 / $1,509.42 / $2,531.17