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Connecticut rates for HCPCS 21138

Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.00 / $6,653.00 / $9,583.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.77 / $946.22 / $2,311.50
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
$817.67 / $1,675.37 / $2,314.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $7,993.34 / $7,993.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.42 / $1,624.60 / $2,312.41
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
$791.83 / $1,281.35 / $1,604.74
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
$790.50 / $1,555.09 / $2,817.08