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Connecticut rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.73 / $4,884.27 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.54 / $611.96 / $1,269.36
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
$373.98 / $716.03 / $970.17
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
$523.55 / $931.20 / $1,632.07
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
$535.13 / $965.12 / $1,208.69
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
$596.92 / $1,059.17 / $1,891.48