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Connecticut rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,327.06 / $2,446.51 / $3,024.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.94 / $1,759.05 / $3,907.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $11,936.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.52 / $2,546.17 / $3,942.41
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
$1,932.77 / $2,962.70 / $4,101.85
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 / $2,551.02 / $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
$1,469.69 / $2,811.30 / $4,656.97