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Connecticut rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,345.13 / $2,810.87 / $7,141.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.18 / $1,759.05 / $4,010.78
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
$1,317.52 / $2,546.17 / $3,974.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $1,845.21 / $1,845.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.78 / $2,962.70 / $3,905.51
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,330.14 / $4,873.00 / $4,974.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.09 / $2,556.26 / $3,135.37
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
$1,492.90 / $3,020.54 / $4,919.60