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Connecticut rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,762.47 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $2,344.23 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $15,135.61 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,778.28 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,754.23 / $6,760.83
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $4,168.69 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,079.46 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,041.74 / $6,760.83